重组组织型纤溶酶溶栓治疗急性脑梗塞30例观察与护理

Observation and nursing of reorganization type tissue plasminogen activator treatment of acute cerebral infarction.

目的:观察重组组织型纤溶酶(rt-PA)治疗急性脑梗塞的疗效。方法:将90例急性脑梗塞患者随机分为两组,对照组60例予以脱水剂、钙离子拮抗剂等对症治疗,溶栓组30例在对症治疗基础上予以rt-PA溶栓治疗。结果:溶栓组神经功能缺损程度及日常生活活动能力较对照组改善,两组比较有显著性差异(P<0.01),两组副作用比较无显著性差异(P>0.05)。结论:rt-PA治疗急性脑梗塞效果满意,能明显缩短病程,降低致残率,提高患者生活质量。

Objective： To observe the effectiveness of the reorganization type tissue plasminogen activator （ rt - PA） treatment of acute cerebral infarction（ACI） and nursing . Methods ： 90 patients were randomly divided into two groups ,dehydration agent and calcium channel blocker expectant treatment were applied in the control group（ n = 60）and on the basis of it , rt - PA was used in the thrombolysis group （ n = 30）. Results ： The extent of nerve damage and functional activities of daily life were improved in the thrombolysis group than that in the control group （ P 〈 0. 01 ） . There was no significant difference in side effects in the comparison between the two groups （ P 〉 0. 05 ）. Conclusion ： rt - PA treatment of ACI is satisfied and can clearly shorten the course of disease and reduce disability and improve the quality of life of patients.