中国医院统计
中國醫院統計
중국의원통계
CHINESE JOURNAL OF HOSPITAL STATISTICS
2013年
6期
444-446
,共3页
急性脑血管病%脑出血%脑梗塞%护理
急性腦血管病%腦齣血%腦梗塞%護理
급성뇌혈관병%뇌출혈%뇌경새%호리
Acute cerebrovascular disease%Cerebral hemorrhage%Infarction%Nursing
目的：对急性脑血管病急诊留观患者进行统计分析，了解急性脑血管病急诊留观患者的特性，为临床护理提供客观依据。方法选择2012-01-2013-06我院急诊科收治的急性脑血管病患者224例，进行急救和护理并对患者性别、年龄和就诊时间等进行统计分析、采用巴氏指数（ BI）评分、简式（ FM）评分法和临床神经功能缺损程度（ AS）对患者进行评估。结果脑梗塞和脑出血的构成比分别为50．89％和49．11％；急性脑血管病女性为41．86％，低于男性的58．04％；脑梗塞和脑出血女性构成比均低于男性。61～岁急性脑血管病患者构成比为40．18％、高于51～岁、41～岁和0～岁急性脑血管病患者的30．36％、25．45％和4．02％。脑梗塞和脑出血发病年龄趋势一致，差别无统计学意义（ u＝0.679，P＞0．05）。急性脑血管病患者就诊0～h、6～h、12～h、24～h 和72～h 的构成比分别为44．64％、29．18％、16.96％、7．14％和2．23％。脑梗塞和脑出血就诊时间趋势一致，差别无统计学意义（u＝0．119，P＞0．05）。脑出血和脑梗塞患者治疗后BI、FM和AS评分均好于就诊前（P＜0．05）。结论急性脑血管病主要发生于年龄较长者，男性多于女性，患者能够及时就诊，及时抢救和护理有利于患者康复。
目的：對急性腦血管病急診留觀患者進行統計分析，瞭解急性腦血管病急診留觀患者的特性，為臨床護理提供客觀依據。方法選擇2012-01-2013-06我院急診科收治的急性腦血管病患者224例，進行急救和護理併對患者性彆、年齡和就診時間等進行統計分析、採用巴氏指數（ BI）評分、簡式（ FM）評分法和臨床神經功能缺損程度（ AS）對患者進行評估。結果腦梗塞和腦齣血的構成比分彆為50．89％和49．11％；急性腦血管病女性為41．86％，低于男性的58．04％；腦梗塞和腦齣血女性構成比均低于男性。61～歲急性腦血管病患者構成比為40．18％、高于51～歲、41～歲和0～歲急性腦血管病患者的30．36％、25．45％和4．02％。腦梗塞和腦齣血髮病年齡趨勢一緻，差彆無統計學意義（ u＝0.679，P＞0．05）。急性腦血管病患者就診0～h、6～h、12～h、24～h 和72～h 的構成比分彆為44．64％、29．18％、16.96％、7．14％和2．23％。腦梗塞和腦齣血就診時間趨勢一緻，差彆無統計學意義（u＝0．119，P＞0．05）。腦齣血和腦梗塞患者治療後BI、FM和AS評分均好于就診前（P＜0．05）。結論急性腦血管病主要髮生于年齡較長者，男性多于女性，患者能夠及時就診，及時搶救和護理有利于患者康複。
목적：대급성뇌혈관병급진류관환자진행통계분석，료해급성뇌혈관병급진류관환자적특성，위림상호리제공객관의거。방법선택2012-01-2013-06아원급진과수치적급성뇌혈관병환자224례，진행급구화호리병대환자성별、년령화취진시간등진행통계분석、채용파씨지수（ BI）평분、간식（ FM）평분법화림상신경공능결손정도（ AS）대환자진행평고。결과뇌경새화뇌출혈적구성비분별위50．89％화49．11％；급성뇌혈관병녀성위41．86％，저우남성적58．04％；뇌경새화뇌출혈녀성구성비균저우남성。61～세급성뇌혈관병환자구성비위40．18％、고우51～세、41～세화0～세급성뇌혈관병환자적30．36％、25．45％화4．02％。뇌경새화뇌출혈발병년령추세일치，차별무통계학의의（ u＝0.679，P＞0．05）。급성뇌혈관병환자취진0～h、6～h、12～h、24～h 화72～h 적구성비분별위44．64％、29．18％、16.96％、7．14％화2．23％。뇌경새화뇌출혈취진시간추세일치，차별무통계학의의（u＝0．119，P＞0．05）。뇌출혈화뇌경새환자치료후BI、FM화AS평분균호우취진전（P＜0．05）。결론급성뇌혈관병주요발생우년령교장자，남성다우녀성，환자능구급시취진，급시창구화호리유리우환자강복。
Objective To observe patients with acute cerebrovascular disease and to understand disease characteristics by statistical analysis, and provide an objective basis for clinical nursing on patients.Methods Two hundred and twenty-four patients with acute cerebrovascular disease were selected from January 2012 to June 2013 in emergency department of our hospi-tal, and were given first-aid and nursing.The gender, age and treatment time of the patients were analyzed statistically, and they were assessed with the use of the Barthel Index (BI) score, Brief (FM) score, and clinical neurological deficits (AS).Results The constituent ratio of patients with cerebral infarction and cerebral hemorrhage were 50.89%and 49.11%.The constituent ratio of women with acute cerebrovascular disease was 41.86%, lower than that of the males 58.04%.The constituent ratio of women of cerebral infarction and cerebral hemorrhage was lower than that of males.The constituent ratio of patients aged at 61 and above with acute cerebrovascular disease was 40.18%, which was bigger than those of the 51 years old and above, 41 years old and above and 0 year old and above with 30.36%, 25.45%and 4.02%.The trend of age of cerebral infarction was consist-ent with cerebral hemorrhage and the difference was statistically insignificant (u=0.679,P>0.05).The constituent ratio of pa-tients with acute cerebrovascular disease at 0~h, 6~h, 12~h, 24~h and 72~h were 44.64%, 29.18%, 16.96%, 7.14% and 2.23%, the difference was statistically insignificant(u=0.679,P>0.05).The trend of treatment time of cerebral infarction was consistent with that of cerebral hemorrhage, the difference was statistically insignificant(u=0.119,P>0.05).BI, FM and AS scores were higher than before treatment(P<0.05).Conclusion Acute cerebrovascular disease occurs mainly in the elder, with more men than women, and timely treatment can be beneficial to the rescue and rehabilitation of patients.
