脑血管病并发症影响患者生存质量调查分析.docVIP

脑血管病并发症影响患者生存质量调查分析 　　[摘要] 目的 分析脑血管病并发症的发生情况以及其对患者生存质量的影响，引起医患的关注。 方法 选择我院2013年4月～2014年3月收治的脑血管疾病并发症患者156例作为研究对象，分析并发症发病情况，并采用卡氏功能状态评分标准（KPS）、体力状况分析标准（PS）以及生活质量评分量表（QOL）综合评定患者发病前后的生存质量。 结果 156例心脑血管疾病并发症患者中，压疮、肺感染、再出血、脑水肿、消化道出血、其他并发症的发生比例分别为19.9%、28.8%、12.8%、8.3%、18.6%、11.5%；发生并发症后患者的KPS评分、QOL评分显著下降、PS评分显著提高（P0.05）。 结论 脑血管病并发症多，发病后显著降低患者的生存质量、体现在功能状态、体力状况及生活质量各方面，应该积极防治。 　　[关键词] 脑血管病；并发症；生存质量 　　[中图分类号] R743 [文献标识码] B [文章编号] 2095-0616（2015）16-156-03 　　Investigation and analysis of the influence of cerebrovascular disease complications on patients life quality 　　GUO Yunjie 　　Department of Internal Medicine， Nanxiong Peoples Hospital， Guangdong， Nanxiong 512400， China 　　[Abstract] Objective To analyze the occurrence of complications of cerebrovascular and its influence on patients life quality to draw patients attention. Methods 156 patients with cerebrovascular disease complications who were admitted to our hospital from April 2013 to March 2014 were selected as research subjects， and the occurrence of complications were analyzed. The life quality of patients before and after onset were evaluated comprehensively by Karnofsky scoring criteria （KPS）， Performance status analytical standards （PS） and quality of Life Rating Scale （QOL）. Results The occurrence proportion of pressure sores， pulmonary infection， rebleeding， cerebral edema， gastrointestinal bleeding and other complications in 156 cases of cerebrovascular disease complications were 19.9%， 28.8%， 12.8%， 8.3%， 18.6%， and 11.5% respectively. KPS score and QOL scores of patients with complications were significantly decreased， and PS score was significantly improved （P0.05）. Conclusion Cerebrovascular diseases have numerous complications， which can significantly decrease patients life quality， reflected functional status， performance status and living quality. As a result， active prevention and treatment should be taken. 　　[Key words] Cerebrovascular disease； Complications； Life quality 　　脑血管病一直以来在临床具有“发病率