急性脑梗死患者高危因素干预和管理的效果评价

Effect Evaluation of Intervention and Management of High Risk Factors in Patients with Acute Cerebral in Farction

目的:探讨对急性脑梗死患者进行高危因素干预和管理的临床效果。方法:将确诊的96例急性脑梗死患者随机分为对照组和观察组,各48例;对照组给予常规治疗和护理干预,而观察组进行高危因素干预和管理;比较2组患者干预3个月后的血压、血糖、血脂、Barthel指数、FMA评分及总有效率等指标。结果:干预后,观察组的收缩压、舒张压、血糖及血脂水平均明显低于对照组(P <0. 05);观察组的Barthel指数、FMA评分均明显高于对照组(P<0. 05);观察组干预后的总有效率为93. 8%,明显高于对照组的72. 9%(P <0. 05)。结论:急性脑梗死患者进行高危因素干预和管理后,可有效控制患者的血压、血糖及血脂水平,提高患者的日常生活能力和肢体运动功能,改善临床治疗效果。

[Objective] To explore the clinical effect of acute cerebral infarction patients carrying out intervention and management of high risk factors. [Method]96 patients w ith acute cerebral infarction w ere randomly divided into control group and observation group,w ith 48 cases in each groups. The control group w as given conventional treatment and nursing intervention,and the observation group w as added intervention and management measures of high risk factors.After 3 months intervention,the indexes such as blood pressure,blood sugar,blood fat,Barthel index,FM A score and total effective rate w ere compared betw een the tw o groups. [Result] After intervention,the levels of systolic pressure,diastolic pressure,blood sugar and blood fat in the observation group w ere much low er than those of the control group（ P〈0. 05）. Bartherl index and FMA score in the observation group were obviously higher than those of the control group（ P〈0. 01）. The total effective rate in the observation group w as 93. 8%,that w as higher than 72. 9% of the control group（ P〈0. 01）. [Conclusion] Carrying out intervention and management of high risk factors to acute cerebral infarction patients could effectively control blood pressure,blood sugar and blood fat of patients,raise activity of daily living and extremity motor function,and improve therapeutic efficacy.