rt-PA溶栓治疗急性缺血性脑卒中出血相关并发症的预防性护理

Preventive Nursing of Hemorrhagic Complications Associated with Acute Ischemic Stroke Treated by Thrombolysis in rt-PA

目的探讨重组组织型纤溶酶原激活剂(rt-PA)溶栓治疗急性缺血性脑卒中出血相关并发症的预防性护理方法。方法选择2018年1月至2018年12月本院收治的急性脑梗死实施溶栓治疗者80例,按照随机数字法分为两组,各40例。对照组行常规护理,观察组以预见性护理进行干预,比较两组神经系统相关评分量表变化情况、干预过程中患者语言功能恢复情况、两组出现的溶栓治疗相关并发症发生情况。结果干预后7 d,观察组ESS评分及MMSE评分均明显高于对照组(P<0.05),干预前两组语言表达功能比较差异无统计学意义(P<0.05),干预后观察组语言功能判断显著高于干预前及干预后对照组(P<0.05),观察组出现颅内出血、皮肤瘀斑和消化道出血的总比例显著低于对照组(P<0.05)。结论对使用重组组织型纤溶酶原激活剂溶栓治疗患者,进行预见性护理,能有效的改善神经系统功能恢复,提高语言能力,减少出血相关并发症。

Objective To explore the preventive nursing methods of thrombolytic therapy in recombinant tissue plasminogen activator for hemorrhagerelated complications of acute ischemic stroke.Methods 80 cases with acute cerebral infarction treated in our hospital from January 2018 to December 2018 were randomly divided into two group,40 cases each.The control group were received routine nursing,while the observation group were received predictive nursing intervention.Then the changes of nervous system related scoring scales,the recovery of patients’language function during the intervention,and the occurrence of thrombolytic therapy related complications in the two groups were compared.Results The ESS score and MMSE score in the observation group were significantly higher than control group at 7 days after intervention(P<0.05).there had no significant difference in the language expression function between the two groups before the intervention(P<0.05).The language function judgment in the observation group after the intervention was significantly higher than control group before and after the intervention(P<0.05).The total proportion of intracranial hemorrhage,skin ecchymosis and gastrointestinal hemorrhage in the observation group were significantly lower than control group(P<0.05).Conclusion Predictive nursing for patients treated with thrombolysis by recombinant tissue plasminogen activator can effectively improve neurological function recovery and language ability and reduce hemorrhage-related complications.