卒中性脑出血昏迷患者临床护理研究

目的研究卒中性脑出血昏迷患者的护理管理,提高存活率,并促进患者康复。方法将180例原发性脑出血患者随机分为昏迷组及非昏迷组,连续动态监测两组BP、HR、R、SPO2、ST-T、心律变化情况,加强护理管理,防治并发症。结果昏迷组及非昏迷组主要临床并发症（如肺部、尿路感染,上消化道出血,脑疝及呼吸衰竭等）差异显著（x^2=3.882-28.538,P〈0.05-0.01）。昏迷组中死亡26例（46.43%）,非昏迷组死亡10例（8.06%）。结论卒中性脑出血并昏迷患者,除加强治疗外要重视临床护理,降低死亡率。

Clinic nursing study of comatose patients with apoplectic cerebral hemorrhage

Objective To study nuring adminstration of comatose patients with apoplectic cerebral hemorrhage for icreasing survival rate and improving recovery. Methods One hundred and eighty patients with primary cerebral hemorrhage were randomly divided into comatose group and uncomatose group. All the patients' BP,HR,R,SPO2,ST-T,rhythm etc. were monitored , and intensive nuring intervention was conducted for preventing of the complications. Results The clinical incidence of complications showed a significant difference (x2=3.882-28.538 P<0.05-0.01) between the comatose and uncomatose groups, such as lung and urinary tract infection, hemorrhage of upper digestive tract, brain hernia and respiratory failure etc.. 26cases (46.43%) died in comatose group and 10 (8.06%) in uncomatose group. Conclusion Besides intensive medical management,the clinic nuring must be strengthened for decrease of death rate.