Intervention to resolve constipation in nursing patients with cerebral hemorrhage cerebral edema of

[Abstract] Objective: To observe the cerebral hemorrhage patients through nursing intervention to resolve constipation. Methods: The BOEN-BE non-invasive dynamic monitor of cerebral edema, bilateral cerebral hemispheres by observing the changes in impedance, measured 45 cases of cerebral hemorrhage through nursing intervention , oral Tongfu mixture, changes in brain edema to resolve constipation, and with the head CT examination showed a hematoma volume compared to the surrounding low-density results: patients with cerebral hemorrhage course of 1-4 days, before and after a bowel movement in patients with bowel contrast, no bowel movement The measured impedance of bleeding in patients with cerebral hemisphere were significantly higher than the peak by defecation, and head CT examination showed that the density changes around the hematoma consistent conclusion: patients with cerebral hemorrhage, constipation resolved after intervention by the care, use non-invasive dynamic monitoring of brain edema, brain edema monitoring the peak was significantly reduced.


1 Materials and Methods
Constipation is a common complication of cerebral hemorrhage, occurs for many reasons, and through clinical nursing intervention to resolve constipation, the use of non-invasive treatment for brain edema monitoring, found that patients with cerebral edema peak decreased significantly, are as follows:
1.1 Clinical data: 40 patients, 20 males and 20 females, 30 cases of cerebral hemorrhage, subarachnoid hemorrhage in 10 patients aged 45-79 years, were confirmed by CT, and in accordance with the Fourth National Cerebrovascular Disease Conference diagnostic criteria [1].

1.2 Measuring Instruments: BOEN-BE non-invasive monitor of cerebral edema dynamic
1.3 Method:: Department of Neurology, two groups of patients were using treatment and routine care, the intervention group were admitted to hospital the day the line of psychological care and oral Tongfu mixture.

1.3.1 Psychological care: patients and their families to explain the relationship between constipation and disease hazards, the light irritability, increased blood pressure, prostration, severe bleeding, indicating the importance of maintaining smooth stool, and told the reason for the occurrence of constipation bed rest, reduced activity, slow intestinal peristalsis in patients worry lit, combined with a large number of applications edema period of dehydration dry hard stools, making them enough attention and awareness of bowel conditions, to obtain cooperation.

1.3.2 Drug Methods: Patients admitted to hospital, routine Tongfu mixture to give oral, oral 3 times a day, a 30ml, gastric tube into the unconscious patient, once every 3 days.

1.4 Statistical analysis: Data obtained in this group difference by t test.

P1> 0.05 shown in the intervention group and control group no significant difference in peak before treatment, no statistically significant, P2 <0.05 before and after the prompt intervention group was statistically significant, P3 <0.05 before and after the prompt control group was statistically significant, P4 <0.05 prompt intervention group and control group after treatment was statistically significant.

1.5 Results: the intervention group and control group in the treatment of cerebral edema were significantly affected, but the intervention group than in the treatment of cerebral edema in the control group is more effective to reduce cerebral edema.


2 Discussion
Cerebral edema in patients with cerebral hemorrhage is common and serious phenomenon of the pathophysiology, prognosis of cerebral hemorrhage and hematoma in addition to the size itself, but also with delayed cerebral edema around the hematoma caused by nerve cell death close relationship of brain edema after intracerebral hemorrhage monitoring is the prevention of brain hemorrhage after the delayed neuronal damage of important measures. Wang Jingyu [2] recognized the source of energy through the gastrointestinal functional recovery can be guaranteed, to be adjust autonomic disorders, stress, capacity strengthening, which brain cells, lack of improvement blood oxygen state help. Lili Jiang [3] reported that under some through internal and external bleeding are obvious hemostatic effect, can reduce blood clotting, can promote the awakening consciousness of rhubarb on the role of accelerated neurological recovery and cerebral edema, constipation is the individual changes in bowel habits, bowel movements to reduce the performance of or discharge of dry hard fecal matter, not only to patients in pain, can also cause cerebral hemorrhage cerebral edema worsened. In order to effectively address this common complication of the use of hospital neurology care intervention Tongfu, by softening stool, intestinal lubrication wall, stimulating bowel peristalsis. This observation indicates that: through non-invasive monitor to monitor brain edema, cerebral edema in patients with Tongfu situation than the non-intervention group significantly decreased the peak, and no further bleeding occurred while good psychological care is the most important measures.

References
[1] Chinese Medicine Neurology credits will, various types of cerebrovascular disease diagnostic criteria, Journal of Neurology, 2006,29 (6:381
[2] Wang Jingyu, Tongfu circulation empirical treatment of acute stroke 50 Cases (T, 1994,8,27:13, Jiangxi Traditional Chinese Medicine 1995,26
[3] Lili Jiang, single herb rhubarb treatment of acute cerebral hemorrhage-term efficacy (J, Practical Traditional Chinese Medicine, 2009,38 Links to free download http://www.hi138.com