在一站式多模态CT扫描指导下进行溶栓治疗对急性脑梗死患者神经功能、预后的影响

Effect of thrombolytic therapy under the guidance of one-stop multimodal CT scanning on neurological function and prognosis of patients with acute cerebral infarction

目的:探讨在一站式多模态CT扫描指导下溶栓治疗急性脑梗死的临床效果及对患者神经功能、预后的影响。方法:选取2023年1月至2024年2月佛山市高明区中医院收治的60例急性脑梗死患者作为研究对象,根据发病时间将其分为两组,将发病时间为4.5~6.0 h的患者设为A组(28例),将发病时间为6.1~8.0 h的患者设为B组(32例)。对两组患者在一站式多模态CT扫描指导下进行溶栓治疗。比较两组患者美国国立卫生院卒中量表(NIHSS)、改良Rankin量表(mRS)的评分及预后情况。结果:A组患者NIHSS的评分低于B组患者(P<0.05)。A组患者mRS的评分低于B组患者(P<0.05)。A组患者预后的良好率高于B组患者(P<0.05)。结论:在一站式多模态CT扫描指导下溶栓治疗急性脑梗死,可改善患者神经功能,预后较好。

Objective:To explore the clinical effect of thrombolytic therapy under the guidance of one-stop multimodal CT scanning on acute cerebral infarction and its influence on the neurological function and prognosis of patients.Method:Sixty patients with acute cerebral infarction admitted to Gaoming District Traditional Chinese Medicine Hospital of Foshan City from January 2023 to February 2024 were selected as the research objects.According to the onset time,the patients were divided into two groups.The patients with onset time 4.5~6.0 h were set as group A(28 cases),and the patients with onset time 6.1~8.0 h were set as group B(32 cases).The patients in the two groups were treated with thrombolytic therapy under the guidance of one-stop multimodal CT scanning.The National Institutes of Health Stroke Scale(NIHSS)score,modified Rankin Scale(mRS)score and prognosis were compared between the two groups.Results:The NIHSS scores of group A were lower than those of group B(P<0.05).The mRS scores of group A were lower than those of group B(P<0.05).The good prognosis rate of group A was higher than that of group B(P<0.05).Conclusion:Thrombolytic therapy under the guidance of one-stop multimodal CT scanning can improve neurological function of patients with acute cerebral infarction and have a good prognosis.