影响中老年后循环脑梗死静脉溶栓近期预后效果因素分析

Analysis of Recent Prognosis Factor Influencing the Middle-aged and Old Posterior Circulation Cerebral Infarction Intravenous Thrombolysis

目的：探究影响中老年后循环脑梗死静脉溶栓近期预后效果因素.方法：选取2010年1月～2015年1月期间来某院就诊的162例后循环脑梗死中老年患者作为研究对象,均给予静脉溶栓治疗,分析患者预后效果的影响因素.结果：预后效果与房颤（r=0.875,P〈0.05）、治疗前NIHSS评分（r=0.974,P〈0.05）、MCA 或者ICA 出现闭塞（r=1.524,P〈0.05）这3个因素相关.结论：倘若脑梗合并上述3种情况,则医护人员应当采取有效处理措施,提高预见性.

Objective:To explore recent Prognosis Factor influencing middle-aged and old posterior circulation cerebral infarction intravenous thrombolysis.Methods:Select 162 cases of posterior circulation cerebral infarction received by a hospital from August 2010 to December 2015 as the research object,who were given intravenous thrombolysis treatment.And then analyze the influence factors of prognosis in patients.Results:The prognosis is related to atrial fibrillation(r=0.875,P<0.875),treatment before NIHSS score(r=0.974,P<0.974),MCA or ICA occlusion(r=1.524,P<0.05).Conclusion:If cerebral infarction is closely related to the above three conditions,the staff can take effective measures and improve the predictability.