综合护理干预在急性脑梗塞患者静脉溶栓后的应用分析

Application Analysis of Comprehensive Nursing Intervention in Patients with Acute Cerebral Infarction after Intravenous Thrombolysis

目的分析综合护理干预在急性脑梗塞患者静脉溶栓后的应用效果。方法方便选取2018年1-12月在该院接受静脉溶栓治疗的急性脑梗塞患者82例,将其按照住院单号尾数奇偶数将患者分成综合组和对照组,每组41例。对照组患者开展常规护理,综合组患者在对照组基础上开展综合护理干预,对比两组患者的卒中评分(CSS)、日常生活能力(ADL)、治疗效果和不良反应发生率。结果综合组患者CSS评分(9.12±3.25)分、ADL评分(87.24±7.23)分,对照组患者CSS评分(16.11±3.78)分、ADL评分(72.53±8.75)分,对比差异有统计学意义(t=8.978、8.298,P<0.05)。综合组患者的治疗总有效率为97.56%、不良反应发生率为7.31%;对照组患者的治疗总有效率为82.92%、不良反应发生率为24.39%,对比差异有统计学意义(χ~2=4.986、4.479,P<0.05)。结论对静脉溶栓治疗的急性脑梗塞患者开展综合护理干预,能够降低患者的脑卒中症状,提高生活质量,有效降低不良反应的发生。

Objective To analyze the effect of comprehensive nursing intervention on intravenous thrombolysis in patients with acute cerebral infarction. Methods Eighty-two patients with acute cerebral infarction who underwent intravenous thrombolysis in the hospital from January to December 2018 were convenienty enrolled. The patients were divided into a comprehensive group and a control group according to the odd number of hospitalizations, with 41 cases in each group.Patients in the control group underwent routine nursing. The comprehensive group underwent comprehensive nursing intervention on the basis of the control group. The stroke score(CSS), daily living ability(ADL), treatment effect and adverse reaction rate were compared between the two groups. Results CSS score(9.12±3.25)points and ADL score(87.24±7.23)points in the comprehensive group, and CSS score(16.11±3.78)points and ADL score(72.53±8.75)points in the control group were statistically significantly different(t =8.978, 8.298,P <0.05). The total effective rate and incidence of adverse reactions in the comprehensive group were 97.56% and 7.31% respectively, while the total effective rate and incidence of adverse reactions in the control group were 82.92% and 24.39% respectively, with staistically significant differences(χ~2=4.986, 4.479,P<0.05,). Conclusion Comprehensive nursing intervention for patients with acute cerebral infarction treated by intravenous thrombolysis can reduce the symptoms of stroke, improve the quality of life, and effectively reduce the occurrence of adverse reactions.