急性缺血性脑卒中溶栓后生命体征护理研究

Nursing Observation on Vital Signs After Thrombolysis in Acute Ischemic Stroke

目的探究急性缺血性脑卒中溶栓后生命体征护理方案研究效果。方法 2016年12月—2018年12月选取医院86例急性缺血性脑卒中进行溶栓治疗患者,将患者随机分成两组,每组43例,一组为对照组,进行常规护理。另一组为观察组,进行生命体征护理干预。观察比较两组患者的神经功能缺损评分(NIHSS),以及并发症情况。结果观察组患者护理后24小时的NIHSS评分(26.24±9.05)分、护理后三天的NIHSS评分(30.72±9.03)分,明显低于对照组(30.72±9.03)分、(27.36±8.57)分(P <0.05)。观察组患者的并发症发生人数3例(6.98%),对照组并发症发生人数11例(25.58%),观察组低于对照组(P <0.05)。结论生命体征护理干预有利于改善急性缺血性脑卒中溶栓后神经功能缺损,减少并发症的发生,促进患者康复。

Objective To explore the effect of nursing plan for vital signs after thrombolysis in acute ischemic stroke. Methods From December 2016 to December 2018. 86 patients with acute ischemic stroke were selected for thrombolytic therapy. and the patients were randomly divided into two groups. 43 cases in each group. and one group as the control group for routine care. The other group is the observation group. and carries out vital signs nursing intervention. Observe and compare the neurological deficit score(NIHSS) and complications of the two groups of patients. Results The NIHSS score of 24 hours after nursing in the observation group was(26.24±9.05) points. and the NIHSS score at 30 days after nursing was(30.72±9.03)points. which was significantly lower than that of the control group at(30.72±9.03) points and(27.36±8.57) points(P<0.05). The number of complications in the observation group was 3(6.98%). and the number of complications in the control group was 11(25.58%). The observation group was significantly lower than the control group(P<0.05). Conclusion Nursing intervention of vital signs is beneficial to improve the neurological deficit after thrombolysis in acute ischemic stroke. reduce the occurrence of complications and promote the rehabilitation of patients.