脑梗塞超早期静脉溶栓治疗的临床观察与护理.docVIP

精品论文 参考文献 脑梗塞超早期静脉溶栓治疗的临床观察与护理 湖南省慈利县中医医院内科 427200 【摘 要】目的：研究和观察治疗脑梗塞患者时使用超早期静脉溶栓的治疗效果。方法：收集2012年1月至2015年1月我院收治的脑梗塞患者共41例，所有患者均接受超早期静脉溶栓治疗，结合系统的针对性护理，对患者的临床资料进行回顾性分析，并总结护理体会。结果：20例患者血栓完全再通，13例患者血栓部分再通，9例患者血栓未通。治疗后患者的卒中量表积分明显低于治疗前，治疗后患者的凝血功能显著优于治疗前，P均lt;0.05。结论：在脑梗塞患者的治疗过程中使用超早期静脉溶栓的治疗方式，并结合早期康复训练和针对性护理，能够有效提高治疗的效果，改善患者神经功能的缺损程度，促进患者恢复，值得推广应用。 【关键字】脑梗塞；超早期静脉溶栓；治疗效果；临床护理 Dai bi fen Cili County Chinese Medicine Hospital Medicine 427 200[Abstract] Objective：To study the therapeutic effect of the treatment of cerebral infarction in patients with cerebral infarction by using the super early thrombolytic therapy..Methods：collected in January 2012 to 2015 years 1 month in our hospital of cerebral infarction in patients with a total of 41 cases，all patients were treated with ultra early intravenous thrombolytic therapy，combined with targeted nursing and clinical data of the patients were retrospective analysis，and summarize the nursing experience.Results：the thrombus was completely in 20 cases，and the thrombus was in 13 cases and the thrombus was not connected in 9 cases..The stroke scale scores of the patients were significantly lower than that before treatment，and the coagulation function of the patients was significantly better than that before treatment，P were lt;0.05.Conclusion：in patients with cerebral infarction in the course of treatment use ultra early intravenous thrombolysis therapy，combined with early rehabilitation training and targeted nursing，can effectively improve the treatment effect，improve the degree of neurological function defect，promote the recovery of patients，it is worthy of popularization and application. [Keywords] cerebral infarction；early intravenous thrombolysis；treatment effect；clinical nursing 脑梗塞属于常见的脑血管疾病，指的是由于患者的脑动脉管腔内血液不断地凝集和增多，导致管腔的狭窄甚至闭塞，在侧支循环不畅通的情况下，脑组织就会缺血、变形甚至坏死，该病的致残率和致死率都非常高[1]。随着我国老龄化社会进程的加快，心脑血管疾病的发病率也在不断的上升，对患者的健康和生命都造成了极大的威胁。在本次研究中，对脑梗塞患者采用了超早期静脉溶栓的治疗方式，并结合系统的护理措施，取得了满意的效果，现报道如下： 1 一般资料与方法 1.1 一般资料