超选择性动脉溶栓和静脉溶栓治疗老年急性脑梗死的临床疗效

Clinical Curative Effect of Super Selective Arterial Thrombolysis and Intravenous Thrombolysis in the Treatment of Senile Acute Cerebral Infarction

目的：探究老年急性脑梗死应用超选择性动脉溶栓与静脉溶栓的效果对比.方法：搜集某院内科2014年1月-2015年8月诊治的71例老年急性脑梗死病患,根据治疗方式不同分为两组,34例参照组给予静脉溶栓治疗,37例观察组给予超选择性动脉溶栓治疗,对比最终的治疗效果.结果：（1）观察组病患的治疗总有效率89.2%（33/37）显著高于参照组病患的70.6%（24/34）,χ^2=3.87,P 〈0.05;（2）观察组病患在治疗后0.5h、12h、1d、3d、7d、14d的NIHSS评分均显著低于参照组,t=6.23,6.01,5.49,5.55,5.42,5.13,P 〈0.05.结论：超选择性动脉溶栓在老年急性脑梗死治疗中的临床疗效显著,可以显著提高病患的治疗效果,改善神经功能,临床应用价值高.

Objective:To explore and compare the curative effect of super selective arterial thrombolysis and intravenous thrombolysis in the treatment of senile acute cerebral infarction.Methods:71cases of elderly acute cerebral infarction patients in a hospital from January 2014 to August 2015 were divided into two groups according to different treatment,34 cases in control group were given intravenous thrombolysis treatment,37 cases in observation group were given super selective arterial thrombolysis,compare the treatment effect.Results:(1)The total effective rate in observation group was 89.2%(33/37),significantly higher than 70.6%in control group(24/34),χ2= 3.87,P<0.05;(2)The NIHSS scores of the observation group0.5h,12 h,1d,3d,7d,14 dafter treatment were significantly lower than those of the control group,t=6.23,6.01,5.49,5.55,5.42,5.13,P<0.05).Conclusion:Super selective arterial thrombolysis in the treatment of elderly acute cerebral infarction has remarkable clinical curative effect,it can significantly improve the therapeutic effect of patients,improve nerve function,and has high clinical value.