高血压脑出血内科保守治疗及护理的疗效观察

Observation of curative effect of conservative treatment and nursing care on hypertensive cerebral hemorrhage

目的探讨高血压脑出血内科保守治疗的疗效及护理的效果。方法选择2009年3月到2011年1月在西安武警医院综合内科进行治疗的高血压脑出血患者90例作为研究对象，所有患者均经过脑部cT扫描确诊。按照是否有护理干预措施随机分为护理纽和对照组，所有患者均签署知情同意书，愿意参加本次研究。采用SPSS13．0统计软件进行统计描述与分析。结果内科治疗疗效分析显示：护理组有效率为95．56％，对照组为75．56％，存在统计学差异（P〈0．05），说明护理组其治疗疗效优于对照组，两组人群并发症发生率存在统计学差异俨〈0．05），说明护理组并发症发生率明显低于对照组。结论高血压脑出血患者经过认真细心的护理，可以有效地提高治疗的疗效，减少并发症的发生，应加强临床推广。

Objective To Investigate the curative effect and nursing care on Hypertensive intracerebral hemorrhage with conservative medical therapy. Methods 90 cases of hypertensive cerebral hemorrhage patients hospitalized during the pe- riod from March 2009 to January 2011 were selected as the research subject. Diagnosis was made by brain CT scan. They were randomly divided into the nursing care group and control group by with or without nursing care. All the subjects should signed consent document previously. SPSS 13.0 software was adopted to carry out the data processing and analyses. Results Analysis showed that effective rate in the care group and the control group was 95.56% and 75.56%, respectively. There was significant difference （ P 〈 0. 05） which showed that the curative effect of care group was better than that of control group. There was a statistically study differences of the incidence of complications between the two groups （P 〈0. 05）, which showed that complication rate in the care group was significantly lower than that of control group. Conclusion The curative effect of hypertensive intracerebral hemorrhage can be improved after the nursing care and the incidence rate of complications was reduced. The treatment should be extended.