老年急性脑梗死早期静脉溶栓治疗的疗效观察  

Evaluation of the efficacy and safety of thrombolytic therapy for elderly patients with acute cerebral infraction in early stage

作　　者：李强[1] 林茂华[1] 李小红[1] 黎民希[1] 郑惠兴[1] 

机构地区：[1]广东省博罗县人民医院内一科,广东博罗516100

出　　处：《海南医学》2007年第10期37-38,共2页Hainan Medical Journal

摘　　要：目的观察静脉溶栓治疗老年急性脑梗死的疗效和安全性。方法对符合静脉溶栓条件的病人在患者或家属同意后给予尿激酶溶栓治疗,将接受静脉溶栓治疗的194例患者按年龄分为老年组(≥60岁)和非老年组(<60岁)两组。对两组病人在治疗前后神经功能缺损分别予以评分,并以此来判断溶栓的治疗效果。结果对比两组患者的疗效,无显著性差异,并对比两组患者的溶栓后继发颅内出血的发生率,无显著性差异。结论老年急性脑梗死溶栓治疗安全,可行,值得推广。Objective To determine the clinical effection and safety of venous thrombolytic therapy used in elderly patients with acute cerebral infraction at early period. Methods The patients accord with condition of thromblytic therapy accept venous thrombolytic therapy with urokinase （UK）, 194 cases accepted thrombolytic therapy divided into two groups of advanced age（≥60 years） of 106 cases group and rest patients group of 88 cases, all the patients in study are observed. The recanalization rate and clinical outcome were statisticsed two groups and compare the curative effect. Results There was no significant difference between two groups about clinical efficacy. Contrast two groups in rate of intracranial hemorrhage , there was no significant difference. Conclusions Thromobolytic therapy for elderly patients with acute cerebral infraction is effective and safy and should be widely used clinically.

关 键 词：急性脑梗死 老年 静脉溶栓治疗 

分 类 号：R743.3[医药卫生—神经病学与精神病学]