静脉溶栓联合早期康复治疗急性脑梗死疗效探讨

Discussion on the Curative Effect of Intravenous Thrombolysis Combined with Early Rehabilitation for Acute Cerebral Infarction

目的研究急性脑梗死患者临床接受静脉溶栓联合早期康复治疗的效果。方法随机数字表法将便利选取2018年1月—2019年12月89例急性脑梗死患者分为对照组、观察组,两组均接受相同静脉溶栓治疗,观察组45例另外接受早期康复治疗,比较两组康复质量。结果观察组治疗2、4、8周后NIHSS评分均低于对照组,差异有统计学意义(P<0.05);观察组治疗8周后上肢、下肢评分均高于对照组,差异有统计学意义(P<0.05);观察组治疗4、8周后mRS评分为(2.72±0.36)分、(1.12±0.27)分,低于对照组(3.34±0.42)分、(1.68±0.33)分,差异有统计学意义(t=7.483、8.771,P<0.05)。结论静脉溶栓联合早期康复用于急性脑梗死治疗中能够更明显改善患者神经功能,提升患者运动功能。

Objective To study the effect of intravenous thrombolysis combined with early rehabilitation in patients with acute cerebral infarction.Methods 89 patients with acute cerebral infarction from January 2018 to December 2019 were randomly divided into two groups:control group and observation group.Both groups received the same intravenous thrombolysis treatment.45 patients in the observation group received early rehabilitation treatment in addition,and the rehabilitation quality of the two groups was compared.Results The NIHSS score of the observation group was lower than that of the control group,and the difference was statistically significant(P<0.05)after 2,4 and 8 weeks of treatment;the upper limb and lower limb scores of the observation group were higher than that of the control group,and the difference was statistically significant(P<0.05)after 8 weeks of treatment;the MRS score of the observation group was(2.72±0.36)points,(1.12±0.27)points,lower than that of the control group(3.34±0.42)points,(1.68±0.33)points,and the difference was statistically significant(t=7.483,8.771,P<0.05).Conclusion Intravenous thrombolysis combined with early rehabilitation in the treatment of acute cerebral infarction can significantly improve the neurological function and improve the motor function of patients.