心源性脑梗塞应用联合抗凝治疗的效果研究

Cardiac Cerebral Infarction Used Joint Anticoagulation Effect Research

目的研究联合抗凝治疗心源性脑梗塞的效果。方法以2014年1月~2016年8月接收的68例心源性脑梗塞病例为研究对象,采用数字抽签法,将其等分成A、B两组。A组联合抗凝治疗,B组仅行常规治疗。观察两组神经功能的恢复情况,比较疗效总有效率等指标。结果 A组治疗后的NIHSS评分显著低于B组,两组之比为:(2.41±1.75)分vs.(5.63±2.79)分。两组对比,差异具有统计学意义(P<0.05)。A组疗效总有效率为88.24%,B组为73.53%。A组明显高于B组。两组对比,差异具有统计学意义(P<0.05)。针对患者日常生活能力的变化情况,A组明显优于B组。两组对比,差异具有统计学意义(P<0.05)。结论联合应用肝素抗凝治疗心源性脑梗塞,效果更加显著,有助于缩短患者康复的时间,改善预后。

Objective To study the effect of united anticoagulation cardiac cerebral infarction. Methods In January 2014- August 2016 of our hospital to receive 68 cardiac cerebral infarction cases as the research object,adopting digital lottery law,it is divided into two groups A and B,etc. Joint anticoagulation therapy group A and group B only routine treatment. Observed two groups of recovery of neurological function,comparing curative effect indexes of total effective rate. Results After treatment group A NIHSS score was significantly lower than that of group B,the ratio of the two groups as：（ 2. 41 ± 1. 75） vs（ 5. 63- 2. 79）. Compared the two groups,the difference statistically significant（ P〈0. 05）. A treatment group total effective rate was 88. 24%,B group was 73. 53%. Group A is significantly higher than group B. Compared the two groups,the difference statistically significant（ P〈0. 05）. For the change of patients daily living ability,group A was better than group B. Compared the two groups,the difference statistically significant（ P〈0. 05）. Conclusions positive applications in cardiac cerebral infarction with anticoagulant therapy,helps to shorten the time of the patients recover,improve the prognosis.