高血压性脑出血并发上消化道出血的危险因素分析及护理策略

目的 探讨高血压性脑出血(HICH)并发上消化道出血的危险因素及护理对策。 方法 选择台州市第一人民医院2016年4月-2017年9月间收治的214例HICH患者,其中将86例HICH合并上消化道出血的患者设为观察组,128例HICH未合并上消化道出血的患者设为对照组。对2组性别、年龄、是否脑疝、有无病理征、脑出血部位、血糖水平、脑出血量、GCS评分等情况进行统计,并采用单因素和多因素分析确定HICH合并上消化道出血患者的危险因素。 结果 214例HICH患者有86例发生上消化道出血,发生率为40.2%(86/214)。单因素分析结果显示:年龄、是否脑疝、有无病理征、脑出血部位、血糖水平、脑出血量、GCS评分是HICH合并上消化道出血患者的危险因素。多因素Logistic回归分析结果显示:年龄、是否脑疝、有无病理征、脑出血部位、血糖水平、脑出血量、GCS评分是HICH合并上消化道出血患者的危险因素。 结论 高血压性脑出血患者易发生上消化道出血,其中年龄、是否脑疝、有无病理征、脑出血部位、血糖水平、脑出血量、GCS评分是HICH合并上消化道出血患者的危险因素,临床中要重视HICH患者的危险因素,做好治疗和护理,预防上消化道出血的发生。 

Risk factors and nursing strategies for hypertensive intracerebral hemorrhage complicated with upper gastrointestinal

Objective To investigate the risk factors and nursing strategies of hypertensive cerebral hemorrhage (HICH) complicated with upper gastrointestinal bleeding. Methods Two hundred and fourteen HICH patients admitted in our hospital from April, 2016 to September, 2017 were selected. Eighty-six HICH patients with upper gastrointestinal bleeding were set in observation group and 128 HICH patients without upper gastrointestinal bleeding were set as control group. The gender, age, hernia, pathological signs, cerebral hemorrhage sites, blood glucose level, cerebral hemorrhage, GCS score of two groups were accounted, and those risk factors of HICH patients with upper gastrointestinal bleeding was analyzed with univariate and multivariate analysis. Results In 214 HICH patients, 86 patients developed upper gastrointestinal bleeding with a rate of 40.2% (86/214). Univariate analysis showed that:age, hernia, pathological signs, cerebral hemorrhage site, blood glucose levels, cerebral hemorrhage, GCS score were the risk factor for HICH patients with upper gastrointestinal bleeding. Multivariate logistic regression analysis showed that age, hernia, pathological signs, cerebral hemorrhage site, blood glucose levels, cerebral hemorrhage, GCS score were the risk factor for HICH patients with upper gastrointestinal bleeding. Conclusion Hypertensive intracerebral hemorrhage patients easily upper gastrointestinal bleeding, and age, hernia, pathological signs, cerebral hemorrhage site, blood glucose levels, cerebral hemorrhage, GCS score were the risk factors for HICH patients with upper gastrointestinal bleeding. So those risk factors should be pay attention,and treatment and nursing carried out to prevent the occurrence of upper gastrointestinal bleeding.