介入溶栓治疗急性脑梗塞的效果及对患者神经功能、生活能力的影响

Effect of interventional thrombolysis in the treatment of acute cerebral infarction and its effect on neurological function and living ability

目的分析介入溶栓治疗急性脑梗塞的效果及对患者神经功能、生活能力的影响。方法选择我院2016年8月至2018年8月收治的88例急性脑梗塞患者为研究对象,按照入院顺序奇偶性将其分为对照组(44例,常规溶栓治疗)与研究组(44例,介入溶栓治疗)。比较两组患者的治疗效果。结果研究组治疗总有效率、血管再通率显著高于对照组(P<0.05)。治疗后,两组NIHSS评分均降低,且研究组低于对照组(P<0.05);两组Barthel评分均升高,且研究组高于对照组(P<0.05);两组FMA评分均升高,且研究组均高于对照组(P<0.05)。研究组并发症总发生率显著低于对照组(P<0.05)。结论介入溶栓治疗急性脑梗塞效果显著,其可促进堵塞血管的再通,有效减轻患者神经功能受损情况,提高其生活自理能力,且安全可靠,值得临床推广应用。

Objective To analyze the effect of interventional thrombolysis in the treatment of acute cerebral infarction and its effect on neurological function and living ability.Methods A total of 88 patients with acute cerebral infarction admitted in our hospital from August 2016 to August 2018 were selected as the study objects,and divided into control group(44 cases,routine thrombolytic therapy)and study group(44 cases,interventional thrombolysis therapy)according to the parity of admission order.The therapeutic effects of the two groups were compared.Results The total effective rate of treatment and vascular recanalization rate in the study group were significantly higher than those in the control group,and the differences were statistically significant(P<0.05).After treatment,the NIHSS scores in the two groups decreased,and that in the study group was lower than the control group(P<0.05);the Barthel scores of both groups increased,and that in the study group was higher than the control group(P<0.05);the FMA scores in the two groups increased,and those of the study group were higher than the control group(P<0.05).The total incidence of complications in the study group was significantly lower than that in the control group(P<0.05).Conclusion Interventional thrombolysis is effective in the treatment of acute cerebral infarction,which can promote the recanalization of blocked blood vessels,effectively alleviate the neurological impairment and improve the ability of self-care of patients,and is safe and reliable.It is worthy of clinical promotion and application.