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目的:分析急性脑卒中尿素氮的变化特点,探讨防治策略及护理措施。方法:采用Logistic回归法分析167例急性脑卒中患者的临床资料。结果:①急性脑卒中患者尿素氮升高47例(28.13%)。其中脑出血发生30例(17.96%)、脑梗塞发生17例(10.17%),单因素回归分析显示两组有显著性差异(χ2=6.15、P<0.05);②多因素逐步回归分析:既往及现存高血压、心脏病、脑卒中史、糖尿病及病后高血糖、高血脂或合并肺内感染、上消化道出血等与正常组比较均有差异(P<0.05~0.01),血肿破入脑室、中线移位尿素氮升高与正常组比较差异显著(P<0.05)。结论:早期明确诊断与治疗,做好肾脏及重要脏器功能监测与保护,加强护理,有助于控制病情和康复,降低病死率。
OBJECTIVE: To analyze the characteristics of urea nitrogen in acute stroke and to discuss the prevention and treatment strategies and nursing measures. Methods: Logistic regression analysis of 167 patients with acute stroke clinical data. Results: ① In patients with acute stroke, blood urea nitrogen increased in 47 cases (28.13%). Among them, 30 cases (17.96%) had cerebral hemorrhage and 17 cases (10.17%) had cerebral infarction. The univariate regression analysis showed that there was significant difference between the two groups (χ2 = 6.15, P <0.05). ②Multiple factor stepwise regression analysis: And the existing hypertension, heart disease, stroke history, diabetes mellitus and post-operative hyperglycemia, hyperlipidemia or complicated pulmonary infection, upper gastrointestinal bleeding compared with the normal group were significantly different (P <0.05 ~ 0.01), hematoma broken Ventricular and midline elevation of urea nitrogen increased significantly compared with the normal group (P <0.05). Conclusions: Early diagnosis and treatment can be done well, monitoring and protection of renal and vital organs can be done well, nursing can be strengthened, disease control and rehabilitation can be controlled, and mortality can be reduced.