时机理论指导下静脉溶栓护理策略对急性脑梗死患者的影响

Influence of Intravenous Thrombolysis Nursing Strategy under the Guidance of Timing Theory on Patients with Acute Cerebral Infarction

目的:探讨时机理论指导下静脉溶栓护理策略对急性脑梗死患者的影响。方法:选取2021年1月—2022年4月淄博市市立医院收治的159例急性脑梗死患者为研究对象,按照随机数字表法将其分为观察组(n=79)与对照组(n=80)。对照组采用常规护理策略,观察组采用时机理论指导下的静脉溶栓护理策略。比较两组血压变异情况、神经功能、康复效果及并发症发生情况。结果:干预后,观察组收缩压标准差、收缩压连续变异、舒张压标准差、舒张压连续变异、美国国立卫生研究院卒中量表评分、改良Rankin量表评分均低于对照组,Barthel指数、日常生活活动能力评分均高于对照组,差异均有统计学意义(P<0.05)。观察组并发症发生率为7.59%,低于对照组的25.00%,差异有统计学意义(P<0.05)。结论:在急性脑梗死患者中应用时机理论指导下的静脉溶栓护理策略干预,可减轻患者神经缺损程度,有效调节血压变异,减少并发症发生,加快疾病康复进程。

Objective:To explore the effect of intravenous thrombolysis nursing strategy under the guidance of timing theory on patients with acute cerebral infarction.Methods:A total of 159 patients with acute cerebral infarction admitted to Zibo Municipal Hospital from January 2021 to April 2022 were selected as the study objects.They were divided into an observation group(n=79)and a control group(n=80)according to random number table method.The control group was treated with routine nursing strategy,the observation group was treated with intravenous thrombolysis nursing strategy under the guidance of timing theory.Blood pressure variation,neurological function,rehabilitation effect and complications were compared between the two groups.Result:After intervention,the standard deviation of systolic blood pressure,continuous variation of systolic blood pressure,standard deviation of diastolic blood pressure,continuous variation of diastolic blood pressure,National Institutes of Health Stroke Scale score and modified Rankin scale score in the observation group were lower than those in the control group,while the Barthel index and activity of daily living score were higher than those in the control group,with statistical significance(P<0.05).The incidence of complications in the observation group was 7.59%,lower than 25.00%in the control group,the difference was statistically significant(P<0.05).Conclusion:The application of intravenous thrombolysis nursing strategy under the guidance of timing theory in patients with acute cerebral infarction can reduce the degree of nerve defect,effectively regulate the variation of blood pressure,reduce the occurrence of complications,and accelerate the process of disease recovery.