护理干预对应用阿替普酶早期溶栓治疗急性脑梗塞患者的临床观察  

Clinical Observation of the Nursing Intervention on the Application of Alteplase Early Thrombolytic Therapy in Patients with Acute Cerebral Infarction

作　　者：郑瑞红[1] 宋妮娜[1] 赵英[1] 单玉波[1] 丛丽娜[1] 孙文芳[1] 

机构地区：[1]大连医科大学附属二院北院神经内科,辽宁大连116031

出　　处：《现代生物医学进展》2013年第6期1146-1148,1179,共4页Progress in Modern Biomedicine

摘　　要：目的:探讨采用阿替普酶(rt-PA)静脉溶栓治疗急性脑梗塞患者的护理措施,以期改善患者的预后并提高患者的生存质量。方法:对2011年1月-2012年5月我院收治的20例使用阿替普酶早期溶栓治疗的急性脑梗塞患者进行护理干预,使用NIHSS进行效果评价。将20例患者随机分为两组,普通组实施常规护理,对照组实施护理干预,比较两组的临床治疗效果。结果:使用阿替普酶溶栓的急性脑梗塞患者经护理干预后溶栓结束无明显不良反应,NIHSS评分自溶栓前逐渐降低,效果较好。两组患者临床治疗效果存在显著差异(P<0.05)。结论:使用阿替普酶对急性脑梗塞患者进行溶栓治疗效果较好,溶栓前后进行科学的护理干预,可以促进患者康复,保证患者的康复。Objective： To explore the nursing interventions for rt-PA intravenous thrombolysis treatment on acute cerebral infarction patients, and improve patients＇ outcomes and quality of life. Methods： Implemented nursing intervention on 20 acute cerebral infarction patients that treated by early thrombolytic therapy with alteplase in our hospital during January 2011 to May 2012, and the effect was evalu-ated using the NIHSS. The 20 patients were randomly divided into two groups, the ordinary group used usual care and the control group implemented nursing intervention, compared the clinical outcomes of the two groups. Results： After nursing intervention, the acute cere-bral infarction patients treated by alteplase thrombolysis with thrombolytic have no significant adverse reactions, the NIHSS score before thrombolysis decreased, showing better efficacy.. There were significant differences between the clinical outcomes of two groups pa-tients （P〈0.05）. Conclusion： The thrombolytic therapy is better for the rt-PA in patients with acute cerebral infarction, thrombolytic scien-tific nursing intervention can promote the rehabilitation of patients.

关 键 词：脑梗塞 阿替普酶 溶栓 护理 

分 类 号：R743[医药卫生—神经病学与精神病学] R47[医药卫生—临床医学]