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

Abstract

BACKGROUND Hypertensive cerebral hemorrhage (HICH) is the rupture and bleeding of vessels of the cerebral parenchyma caused by continuously elevated or violently fluctuating blood pressure. The condition is characterized by high disability and high mortality. Hematoma formation and resulting space-occupying effects following intracerebral hemorrhage are among the key causes of impaired neurological function and disability. Consequently, minimally invasive clearance of the hematoma is undertaken for the treatment of HICH because it can effectively relieve intracranial hypertension. Therefore, special attention should be given to the quality of medical and nursing interventions in the convalescent period after minimally invasive hematoma clearance. AIM 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 intervention. The control group was given conventional nursing intervention and the observation group was given tripartite intensive intervention. The length of hospital stay, cost, complication rate, satisfaction rate, and rebleeding rate during hospitalization were recorded. Changes in cerebral blood flow indicators were recorded in both groups. Changes 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 Health. RESULTS 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). There were no significant differences between the two groups before treatment (all P > 0.05). The mean flow rate (Q mean ) and mean velocity (V mean ) of the two groups increased ( P < 0.05), and the dynamic resistance and peripheral resistance decreased ( P < 0.05). The Q mean and V mean in the intervention group were higher than those in the control group ( P < 0.05). Moreover, the dynamic resistance and peripheral resistance of the blood vessels were also lower in the intervention group than in the control group ( P < 0.05). The difference in health behavior scores between the two groups before treatment was not significant ( P ...

Analysis of the Therapeutic Effect and Prognostic Factors of 126 Patients With Hypertensive Cerebral Hemorrhage Treated by Soft-Channel Minimally Invasive Puncture and Drainage

“…Serum CRP, TNF-α, and IL-6 are all sensitive inflammatory factors in the body. After the occurrence of HICH, they are affected by a severe immune response, and each index is secreted in a large amount in the body (14,15). Hcy is related to the occurrence and development of cerebral hemorrhage.…”

Predictive Value of Recurrent Acute Cerebral Hemorrhage: A Study Based on Electrocardiogram

“…Rebleeding, conversely, refers to the recurrence of a brain hemorrhage following a cerebral hemorrhage. This condition is typically caused by either the re-rupture of a blood vessel at the original site or the rupture of a new blood vessel [10]. The recurrence of a brain hemorrhage, known as rebleeding, poses a severe risk due to its potential to cause even more severe neurological damage and higher mortality rates [11].…”