高血压脑出血并上消化道出血的护理

Nursing of hypertensive cerebral hemorrhage combined with gastrointestinal bleeding

目的:总结高血压脑出血并上消化道出血的护理经验,进一步提高护理质量。方法:2012年5月-2014年11月收治高血压脑出血并上消化道出血患者80例,回顾性分析其临床资料。结果:观察组治疗前FMA评分(27.1±10.1)分,Barthel指数评分(23.1±20.5)分;治疗后FMA评分(64.6±18.5)分,Barthel指数评分(64.1±18.6)分。对照组治疗前FMA评分(27.2±10.2)分,Barthel指数评分(23.2±20.6)分;治疗后FMA评分(35.6±8.8)分,Barthel指数评分(34.2±12.0)分,两组患者在治疗前肢体运动能力和日常生活能力比较差异无统计学意义(P>0.05),经过治疗后,两组患者均明显提高,治疗前后比较差异有统计学意义(P<0.05),观察组治疗后明显高于对照组治疗后,两组治疗后比较差异有统计学意义(P<0.05)。观察组发生静脉血栓、肺部感染、足下垂、足内翻、肩手综合征者明显少于对照组,两组比较差异有统计学意义(P<0.05)。观察组显效30例,显效率75.0%,有效8例,有效率20.0%,无效1例,死亡1例;对照组显效20例,显效率50.0%,有效10例,有效率25.0%,无效6例,死亡4例,总有效率75.0%。结论:加强对高血压脑出血并上消化道出血患者的病情监测、用药护理和饮食护理能够提高护理质量和临床疗效。

Objective:To summarize the nursing experience of hypertensive cerebral hemorrhage combined with gastrointestinal bleeding,to further improve the quality of nursing.Methods:80 patients with hypertensive cerebral hemorrhage combined with gastrointestinal bleeding were selected from 2012 May to 2014 November,clinical data were retrospectively analyzed.Results:In the observation group,before treatment,FMA score was(27.1±10.1),the Barthel index score was(23.1±20.5),after treatment,the FMA score was(64.6 ± 18.5),the Barthel index score was(64.1 ± 18.6),in the control group,before treatment,FMA score was(27.2±10.2),the Barthel index score was(23.2±20.6),the FMA score was(35.6±8.8),the Barthel index score was(34.2±12),we compared the motor ability and the ability of daily life in patients before treatment of the two gruops,there was no significant difference(P>0.05),after treatment,two groups of patients were significantly elevated,compared before and after treatment,the difference was statistically significant(P<0.05),after treatment,the observation group was significantly higher than the control group,the difference has statistical significance(P<0.05),in the observation group,the incidence of the venous thrombosis,pulmonary infection,drop foot,strephenopodia,shoulder hand syndrome were significantly lower than the control group,the difference was statistically significant(P<0.05),in the observation group,30 cases were markedly effective,the markedly effective rate was 75%,8 cases were effective,the efficiency was 20%,1 case was ineffective,1 case was death,in the control group,20 cases were markedly effective,the markedly effective rate was 50%,10 cases were effective,the efficiency was 25%,6 cases were ineffective,4 cases were death,the total efficiency was 75%.Conclusion:To strengthen disease surveillance,medication nursing and diet nursing care for patients with hypertensive cerebral hemorrhage combined with gastrointestinal bleeding can improve nursing quality and clinical effect.