老年心血管病患者并发脑卒中的影响因素分析及护理对策

Factors analysis and nursing measures of hospital stroke occurred on elderly patients with cardiovascular disease

目的 探讨分析老年心血管病患者院内脑卒中发生的危险因素.方法 回顾性分析住院治疗的936例老年心血管病患者,统计住院期间脑卒中发生情况,对导致老年心血管病患者的危险因素进行多因素Logistic回归分析,针对危险因素在我院进行预防性护理管理.结果 936例老年心血管病患者脑卒中发生率为9.51％ （89/936）.多因素Logistic回归分析结果表明,中心肥胖（β=1.188,OR=1.843）、高血压（β=1.520,OR=3.634）、高血脂（β=1.175,OR=2.230）、心源性栓塞（β=1.114,OR=3.230）、动脉粥样硬化（β=1.067,OR=1.810）、脑血管病史（β=1.404,OR=1.232）是其发生的独立危险因素（P＜0.05）.结论 针对伴有脑卒中危险因素的老年心血管疾病患者需要积极展开预防和增加护理执行力,早发现早治疗,减少脑卒中发生.

Objective To explore the risk factors of stroke in elderly cardiovascular patients during hospitalization concurrent.Methods Retrospective analysis of risk factors was performed on 936 cases cardiovascular diseases by multivariate logistic regression analysis.Predictive nursing was performed on account of risk factors.Results The stroke rate was 9.51％ （89/936）.Multivariate logistic regression analysis showed that central obesity （β =1.188,OR =1.843）,hypertension （β =1.520,OR =3.634）,high cholesterol （β =1.175,OR =2.230）,cardiogenic embolism （β =1.114,OR =3.230）,atherosclerosis （β =I.067,OR =1.810）,history of cerebrovascular disease （β =1.404,OR =1.232） were the risk factors for cardiovascular disease （P ＜0.05）.Conclusions Elderly patients with cardiovascular disease associated with stroke risk factors need to actively expand prevention and increased care executive power to reduce the incidence of stroke.