Analysis of inducing factors and nursing care of patients with symptomatic carotid artery stenosis
10.3760/cma.j.cn211501-20190917-02632
- VernacularTitle:有症状性颈动脉狭窄患者的诱发因素分析及护理
- Author:
Guilan SUN
1
;
Yingchun TIAN
;
Dangxiang LI
Author Information
1. 首都医科大学附属北京安贞医院VIP病房 100029
- From:
Chinese Journal of Practical Nursing
2020;36(12):901-904
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the inducing factors of symptom onset in patients with symptomatic carotid artery stenosis, and to provide basis for preventive care.Methods:Totally 104 patients with symptomatic carotid artery stenosis hospitalized in Stroke Ward from September 2014 to December 2017 were selected by convenience sampling method. The clinical data of patients were analyzed retrospectively, and the possible inducing factors were analyzed.Results:there were 104 patients with symptomatic carotid artery stenosis, and 35 patients (33.7%) had obvious inducing factors before onset, but 69 patients (66.3%) had not. The inducing factors were classified into ten categories: posture, activity and fatigue, mood, blood pressure reduction, eating, drinking, noisy environment, hot bath, sweating and cold stimulation. There was no significant difference in gender, age, single and bilateral stenosis, comorbidities (hypertension, diabetes, coronary artery disease, hyperlipidemia) and smoking between the induced group and the non-induced group ( P>0.05). Among the 31 patients with a history of alcohol consumption, 15 had an inducement, accounting for 48.4%; among the 73 patients without a history of alcohol consumption, 20 had an inducement, accounting for 27.4%. The difference between the two groups was statistically significant ( χ 2=4.294, P<0.05).Three cases (8.6%) were directly caused by drinking alcohol. Conclusion:There are many inducing factors for symptomatic carotid artery stenosis, especially for drinking patients, health education should be given, and corresponding preventive measures should be taken to reduce the occurrence of symptoms.
