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tripartite intensive intervention for prevention of rebleeding in elderly patients with hypertensive cerebral hemorrhage

引用

World Journal of Clinical Cases 2021年第33期9卷 10106-10115页

作者： Cai-Xia Li Li Li Jin-Feng Zhang Qi-Hong Zhang Xiao-Hong Jin Guo-Juan Cai Department of Critical Care Affiliated Hangzhou First People’s HospitalZhejiang University School of MedicineHangzhou 310000Zhejiang ProvinceChina Department of Emergency Zhuji People’s Hospital of Zhejiang ProvinceZhuji 311800Zhejiang ProvinceChina

BACKGROUND Hypertensive cerebral hemorrhage(HICH)is the rupture and bleeding of vessels of the cerebral parenchyma caused by continuously elevated or violently fluctuating blood *** condition is characterized by high disability and high *** formation and resulting space-occupying effects following intracerebral hemorrhage are among the key causes of impaired neurological function and ***,minimally invasive clearance of the hematoma is undertaken for the treatment of HICH because it can effectively relieve intracranial ***,special attention should be given to the quality of medical and nursing interventions in the convalescent period after minimally invasive hematoma *** The study aim was to determine the value of intensive intervention,including doctors,nurses,and patient families,for the prevention of rebleeding in elderly patients with HICH during the first hospitalization for rehabilitation after the ictal event METHODS A total of 150 elderly HICH patients with minimally invasive hematoma evacuation in our hospital between May 2018 and May 2020 were selected and equally divided into two groups of 75 each by their planned *** control group was given conventional nursing intervention and the observation group was given tripartite intensive *** length of hospital stay,cost,complication rate,satisfaction rate,and rebleeding rate during hospitalization were *** in cerebral blood flow indicators were recorded in both *** in the National Institutes of Health Stroke Scale(NIHSS)score,quality of life index(QLI)score,and health behavior score were evaluated at the National Institutes of *** Duration of hospitalization was shorter in the in the observation group than in the control group,the hospitalization cost was less than in the control group,and the rate of rebleeding during hospitalization was lower than in the control group(all P<0.05)

关键词： tripartite intensive intervention by doctors Nurses and patient families Hypertensive intracerebral hemorrhage Rebleeding Rehabilitation Nerve function

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