高血压伴脑出血预后相关因素调查分析及护理对策.docVIP

高血压伴脑出血预后相关因素调查分析及护理对策 　　[摘要] 目的 探讨高血压伴脑出血的预后相关因素调查分析及护理对策情况。 方法 分析收治的150例高血压脑出血患者临床资料。采用收集资料和查阅文献的方法，对高血压脑出血患者的影响预后因素进行观察。按照ADL评分情况，分为神经功能恢复良好组：患者处于Ⅰ级、Ⅱ级、Ⅲ级；神经功能恢复不良组：患者处于Ⅳ级、Ⅴ级、Ⅵ级。结果 高血压伴脑出血患者术前血糖值、术前白细胞计数、术前血肿量、手术时机与ADL评级呈现明显的负相关；高血压伴脑出血患者术前 GCS 评分、血肿破入脑室、肺部感染与ADL评级呈现明显的正相关（P0.05）。 结论 明确高血压脑出血预后相关因素可为临床护理提高可靠的理论依据，为提高预后和巩固治疗效果奠定基础。 　　[关键词] 高血压；脑出血；相关因素；调查分析；护理 　　[中图分类号] R651.1；R473.74 [文献标识码] B [文章编号] 1673-9701（2015）09-0132-04 　　Research， analysis and nursing methods of relevant factors of prognosis of hypertension with cerebral hemorrhage 　　HUANG Suqin1 TONG Qiaowei2 FANG Zhihong2 　　1.Department of Internal Medicine， Pujiang Traditional Chinese Hospital in Zhejiang Province， Pujiang 322200，China； 2.Department of Internal Medicine，Luqiao Hospital of Taizhou Enze Medical Center （Group）in Zhejiang Province，Taizhou 318050，China 　　[Abstract] Objective To discuss research， analysis and nursing methods of relevant factors of prognosis of hypertension with cerebral hemorrhage. Methods A total of 150 cases of clinical information of hypertensive patients with cerebral hemorrhage， who were received and cured， were analyzed， and the prognostic factors of of hypertensive patients with cerebral hemorrhage were observed by the method of collecting information and reviewing documents. The patients were divided into good neurological recovery group （Levels Ⅰ，Ⅱ and Ⅲ） and bad neurological recovery group （Levels Ⅳ，Ⅴ and Ⅵ） in accordance with ADL scores. Results Blood sugar value， amount of white blood cell， hematoma volume and operative time of hypertensive patients with cerebral hemorrhage before the operation were showed obvious negative relativity with ADL levels， while the GCS score， hematoma broken into ventricles and pulmonary infection were showed obvious positive relativity with ADL levels（P0.05）. Conclusion To clear and definite the relevant factors of prognosis of hypertensive with cerebral hemorrhage may provide reliable theory evidence for the improvement of cl