不同护理方法对静脉溶栓治疗急性脑梗死临床疗效的影响

Clinical efficacy of different nursing methods on intravenous thrombolytic therapy in the treatment of acute cerebral infarction

目的探讨不同护理方法对静脉溶栓治疗急性脑梗死临床疗效的影响.方法回顾性分析选取本院2015年6月至2016年12月收治的84例急性脑梗死患者的临床资料,根据护理方法不同分成对照组和观察组,每组42例.对照组患者在小剂量尿激酶静脉溶栓过程中给予常规护理,而观察组患者在小剂量尿激酶静脉溶栓过程中给予围溶栓期护理,比较两组患者的治疗效果.结果观察组的治愈率为91.48%,显著高于对照组的73.81%（P〈0.05）,治疗后,观察组MHSS、Barthel Index、ESS评分均显著优于对照组（P〈0.05）.结论急性脑梗死患者小剂量尿激酶静脉溶栓时,采用围溶栓期护理,可提高临床疗效,值得临床推广.

Objective To investigate the clinical efficacy of different nursing methods on intravenous thrombolytic therapy in the treatment of acute cerebral infarction. Methods From June 2015 to December 2016, 84 cases of acute cerebral infarction patients in our hospital were selected and randomly divided into control group and observation group, with 42 cases in each group. The patients in the control group were given routine nursing during low doses of urokinase intravenous thrombolytic therapy, while the patients in the observation group were given nursing care of thrombolytic therapy. The therapeutic effects of two groups were compared. Results The cure rate of the observation group was 91.48%, which was significantly higher than 73.81% of the control group （ P〈0.05）. The NIHSS, Barthel index and ESS scores of the observation group were significantly better than those of the control group after treatment （ P〈0.05）. Conclusion The nursing care of thrombolytic therapy on intravenous thrombolytic therapy in the treatment of acute cerebral infarction can improve the therapeutic effect, which is worthy of clinical promotion.