护理干预对应用阿替普酶早期溶栓治疗急性脑梗死患者的临床观察

Clinical Observation of Nursing Intervention on Early Thrombolytic Therapy with Acute Cerebral Infarction

目的分析对通过阿替普酶进行早期溶栓治疗的急性脑梗死患者临床配合优质护理所取得的效果。方法将2018年1月至2019年7月到我院通过阿替普酶早期溶栓治疗的66例急性脑梗死患者随机分为观察组和对照组,每组33例。分别对两组患者通过优质护理和常规护理实施护理干预,对经过不同护理以后所取得的效果进行比较。结果观察组血管再通率为90.91%(30/33),对照组血管再通率为60.61%(20/33),两组比较有明显统计学差异,P<0.05;观察组并发症发生率为6.06%(2/33),对照组并发症发生率为27.27%(9/33),两组比较有明显统计学差异,P<0.05;对两组患者护理以后的神经功能缺损评分和日常活动能力评分进行比较,观察组NIHSS评分、Barthel评分均优于对照组,两组比较有明显统计学差异,P<0.05。结论以阿替普酶早期溶栓治疗急性脑梗死时实施优质护理可有效提升患者的血管再通率,降低并发症对患者产生的影响,促进患者神经功能改善和日常生活能力的提升具有重要意义,值得推荐。

Objective To analyze the effect of clinical care combined with high-quality nursing for patients with acute cerebral infarction treated with alteplase.Methods From January 2018 to July 2019,66 patients with acute cerebral infarction who received early thrombolytic therapy with alteplase in our hospital were randomly divided into observation group and control group,33 cases in each group.The two groups of patients were implemented nursing interventions through high-quality nursing and routine nursing,and the effects obtained after different nursing were compared.Results The recanalization rate of the observation group was 90.91%(30/33).The recanalization rate of the control group was 60.61%(20/33),there are significant statistical differences between the two groups,P<0.05.The complication rate of the observation group was 6.06%(2/33).The complication rate of the control group was 27.27%(9/33),there are significant statistical differences between the two groups,P<0.05.The neurological deficit scores and daily activity ability scores of the two groups were compared.The observation group NIHSS score and Barthel score were better than the control group,there are significant statistical differences between the two groups,P<0.05,there is statistical significance.Conclusion Early thrombolysis with alteplase to implement high-quality nursing care for acute cerebral infarction can effectively increase the patients vascular recanalization rate,reduce the impact of complications on the patient,and promote the improvement of patients'neurological function and ability of daily living is of great significance.