缺血性脑卒中微出血的危险因素分析及临床护理

Analysis of risk Factors and Clinical Nursing of Ischemic Stroke Patients with Micro-Hemorrhage

目的探讨影响缺血性脑卒中患者脑微出血及出血转化的临床危险因素,并提出针对性的临床护理。。方法 80例缺血性脑卒中患者,应用头颅磁共振磁敏感加权成像(SWI)技术检测并记录脑微出血数量及部位。根据SWI上CMBs的病灶数可以分为轻度组33例(1～5个),中度组27例(6～15个),重度组20例(≥15个)。应用统计软件进行数据统计分析,单因素分析影响CMBs严重程度的危险因素,同时探讨其临床护理。结果轻、中、重三组的性别,高血压,糖尿病,颈动脉粥样硬化,心房颤动等因素无显著性差异(P> 0.05)。微出血的程度随着脑梗死灶数量的增加而增加,脑出血率也随着病情加重而增加,故护理的持续性最为重要。结论脑出血严重度与病情成正相关,临床护理中应严密观察患者病情,配合医师的治疗措施,持续至病情有明确地转归。

Objective To explore the hemorrhage transformation in patients with ischemic clinical risk factors of cerebral microhemorrhage and stroke,and to put forward clinical nursing.Methods 80 patients with ischemic stroke were examined and recorded the amount and location of cerebral microhemorrhage by magnetic resonance weighted imaging (SWI).According to the number of CMBs lesions on SWI,there were 33 cases (1~5)in mild group,27 cases (6~15 )in moderate group and 20 cases (≥15)in severe group.The statistical software was used to analyze the data and the single factor analysis was used to analyze the risk factors affecting the severity of CMBs.At the same time,the study was made on the risk factors.Its clinical nursing.Results There was no significant difference in sex,hypertension,diabetes, carotid atherosclerosis and atrial fibrillation among the three groups (P >0.05 ).The degree of microhemorrhage increases with the increase of the number of cerebral infarction,and the rate of cerebral hemorrhage increases with the exacerbation of the disease,so the continuity of nursing care is the most important.Conclusion There is a positive correlation between the severity of cerebral hemorrhage and state of an illness.In clinical nursing,the patient^condition should be observed closely,and the doctor's treatment should be carried out.