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目的探讨护理干预对恶性肿瘤并发急性双侧前后循环脑梗死患者的影响。方法选取2010年12月至2014年12月南京军区福州总医院神经内科收治的66例恶性肿瘤并发急性双侧前后循环脑梗死患者,采用随机数字表法分为观察组和对照组,每组33例。观察组患者实施护理干预,对照组患者实施常规护理,均比较两组患者的护理效果。结果护理后,两组患者早期急性卒中分级CT评分(ASPECT)、格拉斯哥昏迷评分(GCS)和日常生活能力量表(ADL)评分增加,美国国立卫生研究院卒中量表(NIHSS)评分降低,差异均有统计学意义(均P<0.05)。观察组患者ASPECT评分、GCS评分、ADL评分和护理满意度高于对照组患者,NIHSS评分、不良反应发生率低于对照组,差异均有统计学意义(均P<0.05)。结论护理干预有助于改善恶性肿瘤并发急性双侧前后循环脑梗死患者的预后。
Objective To investigate the effect of nursing intervention on malignant tumor patients with acute bilateral anterior circulation cerebral infarction. Methods Sixty-six patients with malignant tumor complicated with acute bilateral anterior cerebral circulation infarction and cerebral infarction admitted to Department of Neurology, Fuzhou General Hospital of Nanjing Military Command from December 2010 to December 2014 were divided into observation group and control group by random number table example. Nursing intervention patients in the observation group, patients in the control group were given routine nursing care, and the nursing effects of the two groups were compared. Results After treatment, the scores of early acute stroke grading CT (ASPECT), Glasgow coma (GCS) and daily living ability (ADL) scores increased in both groups, and the NIH Stroke Scale (NIHSS) score decreased. All were statistically significant (P <0.05). The ASPECT score, GCS score, ADL score and nursing satisfaction in the observation group were higher than those in the control group. The NIHSS score and the incidence of adverse reactions were lower in the observation group than in the control group (all P <0.05). Conclusion Nursing intervention can help to improve the prognosis of patients with malignant tumor complicated by acute bilateral anterior circulation cerebral infarction.