超早期溶栓治疗急性脑梗塞的观察与护理.docVIP

精品论文 参考文献 超早期溶栓治疗急性脑梗塞的观察与护理 朱银花 阚鲁 孙敏 石爱梅 吴小新 （江苏省如皋市中医院 江苏如皋 226500） 【摘要】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(Plt;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(Plt;0.05)；两组出血情况比较无显著性差异(Pgt;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。 【关键词】溶栓 超早期 急性脑梗塞 疗效 护理 【中图分类号】R473.74 【文献标识码】B 【文章编号】2095-1752（2012）34-0220-02 Observation and nursing of early thrombolysis treatment of acute cerebral infarction 【Abstract】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 cell 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 (Plt;0.01). The total effective rate of thrombolysis group(93.3%) was higher than in control group(72.0%) (Plt;0.05). There was no significant difference in bleeding side effects in the comparison between the two groups (Pgt;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. 【Key words】 Thrombolysis Early-stage Acute cerebral infarction(ACI) Effect Nursing 超早期溶栓治疗是目前来急性脑梗塞治疗最有前途的根本性治疗方法之一[1]。溶栓的意义在于挽救缺血半暗带，限制梗死范围进一步扩大，改善患者预后，提高患者的生活质量，降低致残率。我科于2009年7月至2012年9月对早期急性脑梗死患者30例患者应用rt-PA静脉溶栓治疗，并配合细心周到的护理，与常规对症治疗比较，效果显著，现报道如下： 1 资料与方法 1.1 一般资料　所有80例急性脑梗死患者均符合卫生部制定的《中国脑血管病防治指南》诊断标准[2]，且符合下列条件：(1)年龄在75岁以下；(2)发病在6