空军医学杂志
空軍醫學雜誌
공군의학잡지
MEDICAL JOURNAL OF AIR FORCE
2014年
3期
149-151
,共3页
脑血管病后遗症%低钠血症%老年人
腦血管病後遺癥%低鈉血癥%老年人
뇌혈관병후유증%저납혈증%노년인
Sequelae of cerebral vascular disease%Hyponatremia%Elderly
目的：研究老年脑血管病后遗症患者并发低钠血症的原因，以利于治疗过程的干预。方法选择2012年1月-2013年12月入住我院干部病房神经内科的脑血管病后遗症患者80例作为研究对象，根据是否并发低钠血症分为2组，低钠组32例，正常组48例，对低钠血症发生的相关因素进行分析。结果老年脑血管病后遗症患者并发低钠血症的影响因素包括高龄、卧床、鼻饲、意识不清、合并肿瘤、合并肺炎或呼吸衰竭、合并冠心病、心功能不全、营养状况差（均P＜0.05）。临床表现按发生率高低排位依次是疲倦、厌食、意识障碍加重、恶心、呕吐、四肢发凉、头晕、烦躁、谵妄及抽搐，前3位分别为68.75%、65.63%、59.38%。32例均及时发现低钠血症，及时补充钠后得以纠正，2例因反复低钠血症，最后并发多器官功能衰竭、肺部感染等死亡。结论老年脑血管病后遗症患者低钠血症的发生率仍较高，发生的原因与后遗症严重程度、合并症、生存状态等具有密切的相关性，患者的临床表现无特异性，对高危因素进行干预、高危患者重点监测是预防和治疗的主要手段。
目的：研究老年腦血管病後遺癥患者併髮低鈉血癥的原因，以利于治療過程的榦預。方法選擇2012年1月-2013年12月入住我院榦部病房神經內科的腦血管病後遺癥患者80例作為研究對象，根據是否併髮低鈉血癥分為2組，低鈉組32例，正常組48例，對低鈉血癥髮生的相關因素進行分析。結果老年腦血管病後遺癥患者併髮低鈉血癥的影響因素包括高齡、臥床、鼻飼、意識不清、閤併腫瘤、閤併肺炎或呼吸衰竭、閤併冠心病、心功能不全、營養狀況差（均P＜0.05）。臨床錶現按髮生率高低排位依次是疲倦、厭食、意識障礙加重、噁心、嘔吐、四肢髮涼、頭暈、煩躁、譫妄及抽搐，前3位分彆為68.75%、65.63%、59.38%。32例均及時髮現低鈉血癥，及時補充鈉後得以糾正，2例因反複低鈉血癥，最後併髮多器官功能衰竭、肺部感染等死亡。結論老年腦血管病後遺癥患者低鈉血癥的髮生率仍較高，髮生的原因與後遺癥嚴重程度、閤併癥、生存狀態等具有密切的相關性，患者的臨床錶現無特異性，對高危因素進行榦預、高危患者重點鑑測是預防和治療的主要手段。
목적：연구노년뇌혈관병후유증환자병발저납혈증적원인，이리우치료과정적간예。방법선택2012년1월-2013년12월입주아원간부병방신경내과적뇌혈관병후유증환자80례작위연구대상，근거시부병발저납혈증분위2조，저납조32례，정상조48례，대저납혈증발생적상관인소진행분석。결과노년뇌혈관병후유증환자병발저납혈증적영향인소포괄고령、와상、비사、의식불청、합병종류、합병폐염혹호흡쇠갈、합병관심병、심공능불전、영양상황차（균P＜0.05）。림상표현안발생솔고저배위의차시피권、염식、의식장애가중、악심、구토、사지발량、두훈、번조、섬망급추휵，전3위분별위68.75%、65.63%、59.38%。32례균급시발현저납혈증，급시보충납후득이규정，2례인반복저납혈증，최후병발다기관공능쇠갈、폐부감염등사망。결론노년뇌혈관병후유증환자저납혈증적발생솔잉교고，발생적원인여후유증엄중정도、합병증、생존상태등구유밀절적상관성，환자적림상표현무특이성，대고위인소진행간예、고위환자중점감측시예방화치료적주요수단。
Objective We aimed to research on the causes of senile cerebrovascular disease sequela patients complicated with hyponatremia, to facilitate the treatment process of the intervention. Method 80 patients with cerebral vascular disease sequelae from January 2012 to December 2013 in our hospital ward neural department of internal medicine were taken as the research objects. In terms of hyponatremia, they were divided into two groups: 32 cases in low sodium group, 48 cases in normal group. The related factors were analyzed. Results The main influence factors of senile cerebrovascular disease sequela patients complicated with hyponatremia is old age, being bedridden, nasal feeding, unconsciousness, combined with tumor, with pneumonia or respiratory failure, incomplete cardiac function in coronary heart disease, poor nutrition. The above factors were representative index (P<0.05). The clinical manifestations were mainly fatigue, anorexia, increase of disturbance of consciousness which accounted for 68.75%, 65.63%, 59.38%respectively, according to the incidences of qualifying are fatigue, anorexia, exacerbation of disturbance of consciousness, weak pulse, nausea, vomiting, cold extremities, dizziness, irritability, delirium and seizures. 32 cases were found in a timely manner. With timely supplement of sodium, 30 patients with hyponatremia were corrected, 2 patients with recurrent hyponatremia finally complicated with multiple organ failure, pulmonary infection were died. Conclusion The figure of elderly patients with cerebral vascular disease sequela of hyponatremia incidence is still high, the causes and severity of sequelae, complications, survival status are closely related, and the clinical manifestations were not specific. As for intervention on high risk factors of high-risk patients, the monitoring is the main means of prevention and treatment.
