氯吡格雷联合阿司匹林治疗脑梗死患者的护理效果研究

Nursing Effect of Clopidogrel Combined with Aspirin in the Treatment of Cerebral Infarction

目的:观察脑梗死患者采用氯吡格雷联合阿司匹林治疗的效果,并探讨治疗期间护理方法的应用效果。方法:将86例脑梗死患者视为研究对象,随机分为实验组(43例)和参照组(43例),单独给予参照组患者阿司匹林肠溶片治疗,实验组在阿司匹林肠溶片的基础上联合氯吡格雷治疗,在治疗期间给予,给予参照组常规护理,而实验组给予综合护理。将两组的治疗和护理效果进行对比。结果:经过护理,实验组的治疗总有效率(93.02%)高于参照组(76.74%),P<0.05;实验组的日常生活活动能力的提高程度高于参照组[(45.50±1.10)分vs(34.93±2.11)分,P<0.05];实验组患者的神经功能缺损评分降低程度高于参照组[(19.04±2.03)分vs (13.77±1.10)分,P<0.05]。结论:给予脑梗死患者阿司匹林联合氯吡格雷治疗,并给予患者综合护理干预,可使临床治疗效果更为显著,患者的神经功能得以改善,日常生活活动能力明显提升,值得推广。

Objective To observe the effect of nursing intervention during clopidogrel combined with aspirin treatment for cerebral infarction. Methods： 86 patients with cerebral infarction were randomly divided into experimental group （n=43） and control group （n=43）. The experimental group was treated with clopidogrel on the basis of aspirin enteric-coated tablets. During the treatment, routine nursing was given to the reference group and comprehensive nursing was given to the experimental group. The effects of treatment and nursing were compared between the two groups. Results： With nursing intervention, the total effective rate of treatment in the experimental group was 93.3%. The improvement of ADL in the experimental group was higher than that in the control group （P〈0.05） and 34.93±2.11 points in the control group （P〈0.05）, and the neurological deficit score in the experimental group （19.04 ±2.03） was higher than that in the control group （13.77±1.10） （P〈0.05）. Conclusion： Comprehensive nursing intervention for aspirin combined with clopidogrel in the treatment of cerebral infarction can make the clinical treatment more effective, and the neurological function of patients can be improved. The living activity ability was obviously enhanced, thus it is worth popularizing.