CAJ | 학술논문

目的观察超早期溶栓治疗急性脑梗塞的疗效与护理方法.方法将80例急性脑梗塞患者随机分为两组,对照组50例患者予以扩容,改善脑部循环,营养神经等对症支持治疗;溶栓组30例在对症治疗基础上予以超早期溶栓治疗.结果溶栓组神经功能缺损程度评分较对照组改善,两组比较有极显著性差异(P<0.01).溶栓组和对照组的总有效率分别为93.3%和72.0%,两组比较存在显著性差异(P<0.05);两组出血情况比较无显著性差异(P>0.05).结论超早期溶栓治疗急性脑梗塞效果显著,能明显降低致残率,提高患者的生活质量.在溶栓过程中严密观察病情,预防和及时处理并发症,是顺利完成溶栓治疗的保证.
목적관찰초조기용전치료급성뇌경새적료효여호리방법.방법장80례급성뇌경새환자수궤분위량조,대조조50례환자여이확용,개선뇌부순배,영양신경등대증지지치료;용전조30례재대증치료기출상여이초조기용전치료.결과용전조신경공능결손정도평분교대조조개선,량조비교유겁현저성차이(P<0.01).용전조화대조조적총유효솔분별위93.3%화72.0%,량조비교존재현저성차이(P<0.05);량조출혈정황비교무현저성차이(P>0.05).결론초조기용전치료급성뇌경새효과현저,능명현강저치잔솔,제고환자적생활질량.재용전과정중엄밀관찰병정,예방화급시처리병발증,시순리완성용전치료적보증.
Objective: To observe the effectiveness of the reorganization type tissue plasminogen activator(rt-PA) treatment of acute cerebral infarction(ACI) and nursing. Methods:80 patients were randomly divided into two groups, fluid expansion, improving cerebral circulation and nourishing brain cel treatment were applied in the controlgroup(n=50) and on the basis of it, rt-PAwas used in the thrombolysis group (n=30). Results: The neurologic impairment score was improved in the thrombolysis group than that in the control group (P<0.01). The total effective rate of thrombolysis group(93.3%) was higher than in control group(72.0%) (P<0.05). There was no significant difference in bleeding side effects in the comparison between the two groups (P>0.05). Conclusion: Thrombolysis of ACI is satisfied and can clearly shorten the course of disease and reduce disability and improve the quality of life of patients. It is very important in the process of thrombolysis that observing closely to provent the complications.