“医护康一体”模式对脑梗死溶栓后的远期疗效分析

Analysis on the long-term effect of thrombolytic therapy in treating cerebral infarction based on the model integrating medical treatment,nursing and rehabilitation

目的探讨早期“医护康一体”模式的综合康复对急性脑梗死患者溶栓后肢体功能恢复的远期应用疗效c.方法选取陕西中医药大学附院西安中医脑病医院诊疗的急性脑梗死患者102例为研究对象,随机照法将患者分为综合溶栓组和常规溶栓组,每组51例,常规溶栓组患者治疗期间给予常规溶栓治疗,综合溶栓组患者在常规溶栓的基础上增加护理、康复的辅助治疗,根据溶栓治疗满意调查表和脑卒中临床神经功能缺损评分,调查患者对不同溶栓治疗的满意度和3月后辅助溶栓治疗后的神经功能的疗效变化,应用spearman相关分析综合溶栓满意度与溶栓愈后神经功能缺损评分的关系结果两组患者辅助溶栓过程中均无异常情况发生;综合溶栓组患者在接受综合溶栓辅助治疗后,总有效率为88.24%;常规溶栓组患者在接受常规辅助溶栓治疗后总有效率为70.59%;两组患者在接受辅助治疗前后,神经功能缺损评分比较,均P<0.01,差异有统计学意义,辅助溶栓治疗后两组患者神经功能缺损评分减少值比较P<0.05,差异有统计学意义;spearman相关分析示综合辅助溶栓治疗满意度与溶栓后神经功能缺损评分呈负相关(r=-0.945,P=0.000)。结论综合溶栓辅助治疗不仅能有效提高急性脑梗死患者愈后疗效,且满意度极高。

Objective To investigate the long-term effect of comprehensive thrombolytic therapy in the treatment of patients with acute cerebral infarction.Methods Selected 102 patients with acute cerebral infarction in Xian TCM Brain Disease Hospital Affiliated to Shaanxi University of Chinese Medicine as the research object,and randomly divided the patients into two groups:general thrombolytic group and conventional thrombolysis group,51 cases in each group.Patients in the suppository group received routine thrombolytic therapy,while patients in the thrombolytic group were given adjuvant therapy of nursing and rehabilitation except conventional thrombolysis during the treatment period.According to the thrombolysis satisfaction questionnaire and clinical neurological deficit score of stroke,the satisfaction of different thrombolytic therapy and the efficacy of neurological function after adjuvant thrombolysis after 3 months,the relationship between thrombolysis satisfaction and neurological deficit score after thrombolysis was analyzed by pearman correlation analysis.Results There was no abnormality during the adjuvant thrombolysis in both groups.The total effective rate was 88.24% in the conventional thrombolysis group,while the rate was 70.59% in other group.Before and after receiving adjuvant therapy,the neurological deficit scores were compared,Both P<0.01,the difference was statistically significant,the reduction of neurological deficit scores of the two groups of patients after thrombolytic therapy were statistically significant(P<0.05),and the difference was statistically significant;pearman correlation analysis showed that the comprehensive adjuvant thrombolytic therapy satisfaction and dissolution Post-suppository neurological deficit score was negatively correlated(r=-0.945,P=0.000).Conclusion The combined thrombolysis adjuvant therapy can not only effectively improve the prognosis of patients with acute cerebral infarction,but also with higher satisfaction.