Watershed subarachnoid hemorrhage after middle cerebral artery rescue stenting in patients with acute ischemic stroke

Diana, Francesco; Gregorio, Maria Di; Frauenfelder, Giulia; Saponiero, Renato; Romano, Daniele Giuseppe

doi:10.1007/s00234-021-02692-0

Cited by 1 publication

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“…This is because vascular stenosis and plaque instability are independent risk factors for cerebrovascular disease, and they are also important reasons for the increase of NIHSS. Atorvastatin alleviates cerebrovascular disease and improves prognosis by regulating lipid, anti-inflammatory, and antiatherosclerosis and maintaining plaque stability [30][31][32]. Early intensive nursing intervention reduced brain edema by raising the bed; using restraint belt prevented falling bed; timely help patients turn over, knock back, and massage compression site, reducing the risk of complications.…”

Section: Discussionmentioning

confidence: 99%

Related Factors of Cerebral Hemorrhage after Cerebral Infarction and the Effect of Atorvastatin Combined with Intensive Nursing Care

Yang

2022

Computational and Mathematical Methods in Medicine

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Background. Cerebral infarction is a common neurological disease with high incidence, which is the main factor causing death and disability in adults in China. Cerebral hemorrhage transformation is a common clinical complication. High NIHSS score at admission, atrial fibrillation, and small artery occlusion cerebral infarction can increase the risk of cerebral infarction complicated with hemorrhage transformation. Aim. To explore the related factors of cerebral hemorrhage transformation after cerebral infarction and the value of atorvastatin calcium tablets combined with early intensive care measures. Methods. In this study, a case-control study was conducted. Sixty patients with hemorrhagic transformation after cerebral infarction admitted to the Department of Neurology of our hospital from January 2017 to June 2021 were selected as the observation group, and 90 patients with cerebral infarction without hemorrhagic transformation during the same period were selected as the control group. The risk factors of hemorrhagic transformation after cerebral infarction were analyzed. Results. The results of logistic regression model showed that the increased National Institutes of Health Stroke Scale (NIHSS) score at admission, hypertension, atrial fibrillation, TOAST classification of small artery occlusion, and large infarction lesions were the risk factors for hemorrhagic transformation in patients with cerebral infarction ( P < 0.05 ). After 2 weeks and 4 weeks of treatment, the NIHSS scores of the intervention group were lower than those of the conventional group ( P < 0.05 ). NIHSS scores of the two groups after treatment were significantly lower than those before treatment ( P < 0.05 ). After three months of treatment, the patients in the intervention group with GOS score of 5 points accounted for 16.67%, and the patients with GOS score of 4 points accounted for 56.67%. The patients in the conventional group with GOS score of 5 points accounted for 6.67%, and the patients with GOS score of 4 points accounted for 33.33%. The prognosis of the intervention group was better than that of the conventional group on the whole ( P < 0.05 ). Conclusion. Patients with hypertension, large infarction lesions, high NIHSS score at admission, atrial fibrillation, and small artery occlusion cerebral infarction can increase the risk of bleeding transformation in patients with cerebral infarction. For patients with bleeding transformation, atorvastatin calcium tablets combined with early intensive nursing intervention has a certain value for improving the prognosis of patients.

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Section: Discussionmentioning

confidence: 99%