Abstract

With the acceleration of people’s pace of life, the incidence of cerebrovascular diseases, including ischemic stroke, is on the rise, making it a common clinical condition. The symptoms of cerebrovascular diseases are diverse, significantly impacting the quality of life of those affected. While cerebrovascular collateral circulation has been found to be closely associated with ischemic stroke, there is limited research specifically addressing cerebrovascular collateral stroke and its connection with ischemic stroke. Currently, intravenous thrombolysis within 4.5 h of symptom onset is the most widely recognized therapy for stroke treatment. Additionally, endovascular interventional therapy presents an opportunity for early rehabilitation training for stroke patients due to its minimal invasiveness and convenient hemostasis. However, during interventional therapy, appropriate nursing intervention is crucial to promote limb movement, sensory perception and self-care abilities, ultimately enhancing the quality of life and prognosis of stroke patients. This study included stroke patients diagnosed via transcranial Doppler ultrasound from March 2019 to March 2022. Patients were divided into ischemic stroke and non-ischemic stroke groups in a 1:1 ratio. A total of 100 patients were included, all of whom underwent whole-brain angiography (digital subtraction angiography), digital subtraction angiography intervention and comprehensive care interventions. The incidence of cerebrovascular collateral circulation in the ischemic stroke group was notably higher at 60.00 % compared to 41.82 % in the non-ischemic stroke group (p<0.05). Logistic regression analysis revealed that cerebrovascular collateral circulation, hypertension and hyperlipidemia were significant risk factors for ischemic stroke (p<0.05). Following therapy, stroke patients showed improved psychological status scores, enhanced limb motor function and improved quality of life scores, while neurological function and prognosis scores showed significant improvement (p<0.05). Based on digital subtraction angiography examination, cerebrovascular collateral circulation is identified as a risk factor for ischemic stroke. Implementing appropriate and effective nursing measures can effectively improve mood, limb function, quality of life and prognosis for patients with cerebrovascular diseases and ischemic stroke.