多发性腔隙性梗死老年患者的临床预后效果心理状况和生活质量探索  

Clinical Prognosis Effect of Multiple Lacunar Infarction,Psychological Status and Quality of Life in Elderly Patients

作　　者：李凡[1] 黄通瑞[1] 丁军[1] 

机构地区：[1]中国人民解放军白求恩国际和平医院干部病房,河北石家庄050082

出　　处：《河北医学》2017年第2期328-332,共5页Hebei Medicine

基　　金：河北省科技成果项目;(编号:20143372)

摘　　要：目的:探索多发性腔隙性梗死老年患者的临床预后效果、心理状况和生活质量。方法:回顾性研究2015年6月至2016年6月因多发性腔隙性梗死来我院住院治疗的患者45例以及同期住院的无腔隙性梗死的老年患者43例,分析比较两组患者的临床预后效果、心理状况和生活质量差异。结果:两组患者住院治疗后,研究组的显效率和有效率要显著低于对照组(P<0.05)。研究组患者的感染、抑郁、认知障碍和偏瘫发生率显著高于对照组(P<0.05)。研究组患者在躯体化、人际关系敏感、抑郁、焦虑方面的显著高于对照组(P<0.05)。两组患者出院后3个月,研究组的生活质量量表得分在生理功能、躯体角色功能、躯体疼痛、总体健康、活力、社会功能、情感角色功能和心理健康上显著低于对照组(P<0.01)。结论:多发性腔隙性梗死老年患者的临床预后效果较差,心理健康受到严重影响,抑郁和焦虑状况较重,生活质量明显降低,临床治疗和护理上应予以重视。Objective： To explore the clinical prognosis effect of multiple lacunar infarction, psychological status and quality of life in elderly patients. Methods： Through a retrospective study on 45 patients with multiple lacunar infarction in our hospital from June 2015 to June 2016 and 43 cases of elderly patients with non infarction symptoms during the same period, the clinical prognosis effect, psychological status and quality of life of the two groups were analyzed and compared. Results： After the treatment in the hospital, the efficiency rate and effective rate in the study group was significantly lower than those in the control group （ P〈0. 05 ）. The incidence of infection, depression, cognitive disorder and hemiplegia in the study group were significantly higher than those in the control group （P〈0.05）. The scores in somatization, interpersonal sensitivity, depression, anxiety of the patients in the study group were significantly higher than those in the control group （ P〈0.05 ）. 3 months after the patients discharged from the hospital, the scores in physical function, role physical function, bodily pain, general health, vitality, social function, emotional role function and mental health in the study group were significantly lower than those in the control group （P〈0.01）. Conclusion： The effect in clinical prognosis of multiple lacunar infarction in elderly patients is poor, the mental health is seriously affected, the depression and anxiety is severer, the quality of life significantly reduces, therefore the clinical treatment and nursing care to the patients should be paid more attention.

关 键 词：多发性腔隙性梗死 预后效果 心理状况 生活质量 

分 类 号：R473.74[医药卫生—护理学]