高血压合并脑梗死危险因素分析与护理对策.docVIP

高血压合并脑梗死危险因素分析与护理对策 　　[摘要] 目的 分析高血压合并脑梗死的危险因素，并采取有针对性的护理干预措施。 方法 选择2013年12月～2015年12月在我院住院治疗原发性高血压患者150例，以合并脑梗死的50例患者为观察组，余100例为对照组，比较两组的性别、年龄、吸烟、饮酒、体质指数（BMI）及合并基础疾病情况，并对高血压合并脑梗死的危险因素进行Logistics回归分析。 结果 观察组：86.0%年龄≥60岁、56.0%伴有吸烟、68.0%合并糖尿病、70.0%合并血脂异常，66.0%伴有肥胖，与对照组在年龄、吸烟、合并糖尿病、合并血脂异常及肥胖方面比较，差异有统计学意义（P0.05）。年龄≥60岁（OR=2.893，95%CI：1.586～3.123）、吸烟（OR=5.312，95%CI：1.421～2.342）、合并糖尿病（OR=3.253，95%CI：1.228～3.532）、血脂异常（OR=4.123，95%CI：0.452～2.323）、肥胖（OR=3.286，95%CI：0.386～3.832）是高血压合并脑梗死的危险因素（P0.05）。 结论 高血压合并脑梗死的危险因素较多，采取有针对性的护理干预措施有利于降低其发病率，提高患者的生活质量。 　　[关键词] 高血压合并脑梗死；危险因素；护理对策 　　[中图分类号] R544.1；R473 [文献标识码] B [文章编号] 1673-9701（2016）19-0146-03 　　[Abstract] Objective To investigate the risk factors of hypertension with cerebral infarction and to develop effective intervention strategy. Methods 150 patients with primary hypertension treated in our hospital from December 2013 to December 2015 were selected， of which 50 patients combined with cerebral infarction（confirmed by CT or MRI） were divided into the cerebral infarction group， and the other 100 patients were divided into the non-cerebral-infarction group. The conditions such as genders， ages， smoking， drinking， BMI， and underlying diseases were compared between two groups， and risk factors of hypertension with cerebral infarction were analyzed by logistic regression analysis. Results In the cerebral infarction group， 86.0% of the patients were ≥60 years old， 56.0% were smoking， 68.0% were combined with diabetes， 70.0% were combined with dyslipidemia， and 66.0% were combined with obesity， which showed significant differences with those conditions in the non-cerebral-infarction group（P0.05）. Age ≥60 y（OR=2.893， 95%CI：1.586～3.123）， smoking（OR=5.312， 95%CI： 1.421～2.342）， and combination with diabetes（OR=3.253， 95%CI： 1.228～3.532）， dyslipidemia（OR=4.123， 95%CI： 0.452～2.323）， and obesity（OR=3.286， 95%CI： 0.386～3.832） were risk factors of hypertension with cerebral infarction （P0.05）. Conclusion The risk factors of hypertension