急性闭塞性脑梗塞介入溶栓术临床观察  

作　　者：牟磊[1] 李茂绪[1] 许梅[1] 徐东成[1] 秦文玲[1] 

机构地区：[1]山东省日照市中医医院,山东日照276800

出　　处：《药物与人》2014年第9期17-17,共1页Medicine & People

摘　　要：目的：探究介入溶栓术对急性闭塞性脑梗塞病人的临床治疗效果。方法：选取2011年到2013年来我院就诊的急性闭塞性脑梗死病人64人，进行溶栓治疗。结果：经治疗，发病（3h的病人的有效率为92．31％，发病在3-6h之间的病人的有效率为85．00％，发病6-9h小时病人有效率为55．56％，发病〈3h的病人有效率高于发病3-6h的有效率，但无统计学意义；前两者与发病6-9h小时病人有效率有显著差异（P（0．05）；发病〈3h病人和发病3-6h小时病人21d后的NIHSS评分与发病6-9h的病人21d后的NIHSS评分有明显差异（P〈0．05）。结论：介入溶栓术对急性闭塞性脑梗塞病人的治疗具有较好疗效，病人发病时间越短其治疗效果越好，预后越好，术中严格按照标准执行可减少并发症发生。Objective： To investigate the clinical effects of interventional thrombolysis for acute occlusive cerebral infarction patients. Methods： Patients with acute occlusive infarction 2011 to 2013 to our hospital for 64 people, thrornbolytic therapy. Results： After treatment, the incidence of 〈3h the effective rate of 92.31% of patients, the incdence in patients between 3- 6h effective rate of 85.00%, the incidence 6 - 9h hours effective rate of 55.56% of patients, the incidence of 〈3h patients there are more efficient than the incidence of 3 - 6h efficient, but not statistically significant; former two hours with the onset of 6 - 9h efficient patients were significantly different （P 〈0. 05）; onset 〈3h patients and patients with onset 3- 6h hours NIHSS score and 21d after the onset of 6-9h patients NIHSS 21d after scores were significantly different （P 〈0.05）. Conclusion： lnterventional thrombolysis for acute treatment of occlusive cerebral infarction patients with good effect, the shorter the time of onset of their patients better treatment, the better the prognosis, in strict accordance with the standards of intraoperative complications can be reduced.

关 键 词：急性闭塞性脑梗死 介入溶栓术 临床观察 

分 类 号：R584[医药卫生—内分泌]