超早期急性脑梗塞选择性动脉溶栓与静脉溶栓疗效对比研究

Research on Comparison of Curative Effect of Super Early Acute Cerebral Infarction Selective Arterial Thrombolysis and Intravenous Thrombolysis

目的研究对比超早期急性脑梗塞选择性动脉溶栓与静脉溶栓的疗效。方法方便选取2013年12月—2015年11月在该院进行治疗的140例急性脑梗塞患者为研究对象,按患者自愿原则进行分组(对照组35例采用静脉溶栓方法进行治疗;观察组105例采用动脉溶栓方式进行治疗)并进行溶栓治疗,并对治疗后的评价指标内容(NIHSS评分)进行统计分析。结果采用动脉溶栓治疗患者的总有效率为86.67%优于采用静脉溶栓治疗的对照组的74.29%,比较差异有统计学意义(P<0.05)。结论对超早期急性脑梗塞患者采用两种溶栓方法均能获得较好的疗效,但采用动脉溶栓治疗效果更为理想。

Objective To research and compare the curative effect of super early acute cerebral infarction selective arterial thrombolysis and intravenous thrombolysis. Methods 140 cases of patients with acute cerebral infarction treated in our hospital from December 2013 to November 2015 were convenient selected and voluntarily divided into two groups, the control group with 35 cases was treated with intravenous thrombolysis, while the observation group with 105 cases was treated with arterial thrombolysis, and the NIHSS score after treatment was statistically analyzed. Results The total effective rate of patients in the observation group was better than that in the control group（86.67% vs 74.29%）, and the difference was statistically significant（P〈0.05）. Conclusion The two thrombolysis methods for patients with super early acute cerebral infarction can obtain a better curative effect, but the treatment effect of arterial thrombolysis is more ideal.