脑梗死规范化诊疗程序的应用

Analysis of effect on standardization diagnosis and treatment in cerebral infarction

目的评价脑梗死规范化诊疗程序应用的效果。方法收集脑梗死患者660例,使用规范化诊疗程序治疗脑梗死330例,未使用规范化诊疗程序治疗脑梗死330例,观察两组患者溶栓、降纤、抗凝、抗血小板聚集、扩血管治疗使用的病例数,NIHSS和ADL评分。结果用规范化诊疗程序治疗脑梗死患者溶栓、降纤、抗凝、抗血小板聚集、扩血管治疗的病例数明显增多(P<0.01),3个月后的NIHSS评分、ADL评分明显优于未使用规范化诊疗程序的脑梗死患者(P<0.01)。结论应用规范化诊疗程序治疗脑梗死的疗效显著,值得推广。

Objective To analyse the effect on application of standardization diagnosis and treatment in cerebral infarction. Methods 660 patients with cerebral infarcion were collected. 330 patients with cerebral infarcion were managed by diagnose and treatment procedure normalization,while 330 patients with cerebral infarcion were not treated by diagnose and treatment procedure normalization, Cases of thrombolysis, fibrinogen decrease,anticoagulation and antiplatelet were observed,NIHSS Scale and ADL Scale of 2 groups were assessed and compared 3 months after treatment. Results Thrombolysis, fibrinogen decrease,anticoagulation,antiplatelet, NIHSS Scale and ADL Scale in diagnose and treatment procedure normalization group significantly increased （P〈0.01）. Conclusion Application of diagnose and treatment procedure normalization in cerebral infarction should be regarded as an effective way and spreaded.