阿替普酶治疗急性脑梗死不同护理比较

Comparison of Different Nursing Care in the Treatment of Acute Cerebral Infarction with Atiplase

目的:探究阿替普酶治疗急性脑梗死采用不同护理的效果。方法:在南昌大学第三附属医院收治的急性脑梗死患者中随机选取40例(均为2017年4月至2018年4月期间收治)作为此次研究的研究对象,根据数字分组法将患者平均分为对照组与观察组。两组患者的治疗药物均为阿替普酶,但对照组患者接受常规护理,观察组患者则接受综合护理。分别采用神经功能缺损评分(NIHSS评分)、日常生活能力量表(ADL评分)对两组患者护理前后的神经功能缺损情况、日常生活活动能力进行评估。另外,还需评价两组患者疗效。结果:经护理后,观察组患者NIHSS评分改善程度优于对照组患者;观察组患者ADL评分提升程度大于对照组患者;且观察组患者治疗总有效率(95.00%)优于对照组患者(65.00%),以上数据均经过统计分析,存在显著差异(P<0.05)。结论:在给予急性脑梗死患者阿替普酶治疗的基础上,添加综合护理有助于改善患者的神经功能缺损程度,提高患者的日常生活活动能力,是个优良的护理方案。

Objective To explore the effect of different nursing care for acute cerebral infarction treated by atropase. Methods： 40 patients with acutecerebral infarction （all admitted from April 2017 to April 2018） were randomly selected as the study subjects. The patients were divided into controlgroup and observation group according to the digital grouping method. The two groups were treated with atropase, but the patients in the controlgroup received routine nursing and the patients in the observation group received comprehensive nursing. The patients in both groups were treatedwith NIHSS score （neurological deficit score） and ADL-scale before and after nursing care. Neurological impairment and activities of daily livingwere evaluated. In addition, we also need to evaluate the efficacy of the two groups of patients. Results： After nursing, the improvement degree ofNIHSS score in the observation group was better than that in the control group, and the improvement degree of the ADL score in the observationgroup was higher than that in the control group. The total effective rate of treatment in the observation group was 95.00%, which was better than thatin the control group （65.00%）. The above data were statistically analyzed and there was significant difference （P〈0.05）. Conclusion： On the basis ofthe treatment of atropase in patients with acute cerebral infarction, the addition of comprehensive nursing care is helpful to improve the degree ofneurological impairment in patients with acute cerebral infarction. It is an excellent nursing program to improve the activity of daily life of patients.