急性脑梗塞OCSP分型静脉应用尿激酶溶栓的观察

OSCP classification of acute cerebral infarction and observation of treatment by intraveinous urokinase

目的 :观察尿激酶治疗急性脑梗塞的疗效。方法 :将急性脑梗塞(ACI) 82例按OCSP分型 ,确定需溶栓的亚型 65例 ,并将其随机分为两组。溶栓组予以尿激酶行溶栓治疗 ,对照组予以一般对症治疗如脱水剂、钙离子拮抗剂等。结果 :溶栓组予以尿激酶溶栓治疗后 ,神经功能缺损程度及日常活动能力 (ADL)较对照组改善明显 (P <0 0 1 )。结论 :急性脑梗塞应用尿激酶溶栓治疗 。

Objective:To observate therapeutic effect of intraveinous urokinase on acute cerebral infarction,according to OCSP classification.Method:Classified 82 patients according to OCSP classification method among which 65 cases can accept urokinase,then subdivided into thrombolysis group and control group,observate their convalescence condition and ability of daily living(ADL).Result:Thrombolysis group show better in ADL and convalescence(P<0 01).Complication such as haemorrhage and so on show no significant difference(P<0 05).Conclusion:Introveinous urokinase show satifactory thrombolytic effect.