中老年脑梗死50例临床分析

目的对50例中老年脑梗死患者进行临床分析。方法选取自2009年1月～2010年6月共收治的50例中老年脑梗死患者,给予活血化瘀常规治疗及改善微循环,脑细胞代谢药物的治疗。对发病在24h内的脑梗死患者给予降纤酶溶栓及中医针灸、按摩,同时做早期康复训练治疗,有并发症者给予相应处理,病因明确的对症治疗。结果本组病例就诊后24h内即明确诊断者45例(90%),就诊后2～4d内明确诊断者5例(10%)。50例中老年脑梗死患者经过积极治疗之后,显效(症状较治疗前明显减轻)22例(44%),有效(症状有所减轻)18例(36%),无效(治疗前后临床症状无改善)10例(20%),总有效率80%。结论对该类病例的治疗,要及时给予降纤、抗凝、改善脑血流及大量的B族维生素,同时要教育患者戒酒,防止血管系统的进一步损害。

objective the clincal data of 50 cases of middle-aged cerebral infarction. Methods In our hospital from January 2009 to June 2010 a total of 50 patients were treated as objects in elderly patients with cerebral infarction cerebral infarction in this group of patients given conventional treatment blood circulation and improve microcirculation brain cell metabolism and drug treatment . Within 24 hours of the onset of cerebral infarction patients given thrombolytic defibrase and Chinese acupuncture massage and for early rehabilitation treatment complications are given the appropriate treatment a clear cause of symptomatic treatment. Results The patients within 24 h after treatment that is diagnosed in 45 patients （90%） treatment within 2 ~ 4 d after the diagnosis in 5 cases （10%）. 50 cases of cerebral infarction in elderly patients after surgery the effective （significantly reduced symptoms compared with before treatment） 22 patients （44%） effective （symptoms alleviated） 18 patients （36%） invalid （no improvement of clinical symptoms before and after treatment ） 10 （20%） the total was 80%. Conclusion The treatment of this class of cases should provide timely fibrinolytic anticoagulant improve cerebral blood flow and a large number of B vitamins at the same time to educate patients and alcohol to prevent further damage to the vascular system.