高血压脑出血内科保守治疗的疗效及护理效果观察(1)
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[摘要] 目的 研究内科保守治疗高血压性脑出血的疗效和临床护理方法及疗效。 方法 采用案例分析法和比较分析法。选取本院收治的采用内科保守疗法的高血压脑出血患者112例，根据治疗中的护理方法分为常规护理组和舒适护理组各56例，对比分析组别间的治疗疗效及护理疗效。 结果 治疗疗效上，舒适护理组治疗有效率(82.1%)显著高于常规护理组(55.4%)，治疗后并发症上，舒适护理组在肺部感染和消化道出血上显著低于常规组(P < 0.05),差异有统计学意义。 结论 科学、系统、优质的舒适护理，能有效促进高血压脑出血内科保守治疗患者的康复，有效减少治疗并发症，增强患者治疗信心，应在临床上加以推广应用。
[关键词] 高血压性脑出血；内科保守治疗；舒适护理；常规护理
[中图分类号] R473.5 [文献标识码] A [文章编号] 1674-4721(2012)03(c)-0119-02
Curative effect and nursing observation of conservative treatment for hypertensive cerebral hemorrhage
ZHU Xiaoling
Internal Medicine, the Second Affiliated Hospital of Hunan Medical University, Changsha 410005, China
[Abstract] Objective To research curative effect and nursing observation of conservative treatment for hypertensive cerebral hemorrhage. Methods Case analysis and comparative analysis were used. 112 patients with hypertensive intracerebral hemorrhage who adopted conservative medical therapy were chosen, according to nursing methods of treatment, divided into usual care groups and comfort care group, each of 56 cases. The therapy and care treatment of two groups were contrasted and analyzed. Results On the therapy, the effective rate of comfort care group (82.1%) was more than usual care groups (55.3%). On the complications after treatment, pulmonary infection and hemorrhage of digestive tract of comfort group was less than usual treatment group (P < 0.05), there was statistically significant difference. Conclusion Scientific systematic high-quality comfort care can effectively promote the rehabilitation of hypertensive cerebral hemorrhage patients with conservative treatment, effectively reduce the treatment complications and enhance the confidence of patients, shall be popularized and applied for the clinical.
[Key words] Hypertensive cerebral hemorrhage; Conservative treatment; Comfort care; Usual care
高血压脑出血是一种常见的神经内科疾病和高血压并发症，其发病率、致残率、致死率均较高，是危害人类健康的的重要疾病。临床治疗上，大量出血时外科手术治疗是主要疗法，但手术治疗存在风险大、费用高等缺点，对小出血量患者来说，并不适用[1]。本院近年来在治疗小量出血的高血压脑出血患者时采用内科保守疗法，并配合以科学、优质的系统护理，显著促进患者的康复，减少了治疗并发症，取得了良好的效果。现结合实例将研究结果报道如下：
1 资料与方法
1.1 一般资料
资料来源于本院神经内科2009年5月～2011年3月收治的采用内科保守疗法的高血压脑出血患者112例，所有患者资料真实、完整，具有研究价值。其中，男64例，女48例；年龄55～78岁 ......
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