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目的 探讨预见性护理对减少急性脑梗死患者上消化道出血发生率的影响.方法 2010年1月—2011年12月在神经内科治疗的急性脑梗死患者300例随机分为观察组和对照组各150例.对照组按神经内科护理常规进行护理,观察组在此基础上给予消化道的预见性护理,比较两组消化道出血发生率的差异.结果 观察组的消化道出血发生率明显低于对照组(2.7％vs 8.7％,P<0.05).结论 对急性脑梗死患者实施预见性护理可明显降低消化道出血的发生率,改善患者预后.“,”Objective To explore the effect of foreseeable nursing on reducing the incidence of hemorrhage of upper digestive tract in patients with acute cerebral infarction. Methods 300 cases of acute cerebral infarction treated in the neurology department from January 2010 to December 2011 were randomly divided into control group (n=150) and observation group (n=150). The control group were cared with routine nursing of neurology department, observation group were added with foreseeable nursing of digestive tract, two groups of gastrointestinal hemorrhage formation rate was observed and compared. Results The incidence of gastrointestinal bleeding was significantly lower in the observation group than that in the control group (2.7％ vs 8.7％, P<0.05). Conclusion The implementation of predictive nursing can significantly reduce the incidence of gastrointestinal bleeding in patients with acute cerebral infarction and improve the prognosis of the patients.