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急性脑梗死静脉溶栓疗效观察及护理
引用本文:陈宇革,李雯.急性脑梗死静脉溶栓疗效观察及护理[J].中国医药指南,2008,6(21).
作者姓名:陈宇革  李雯
作者单位:上海市杨浦区杨浦中心医院神经内科,200090
摘    要:目的探讨急性脑梗死早期尿激酶静脉溶栓治疗过程中的护理作用。方法对溶栓组43例6h内的急性脑梗死患者应用150万U尿激酶静脉溶拴治疗,观察溶拴后2h、1、7、14d时欧洲卒中量表(ESS)评分增加程度、治疗后的显效率,总有效率,并与常规治疗的对照组(40例)进行比较。结果溶栓后1d欧洲卒中量表评分(66.74±20.72)分,较溶栓前(59.07±20.02)分明显增加,二者比较差异有显著性(P<0.01),显效率、总有效率分别达到20.92%和51.17%;溶栓后14d欧洲卒中量表评分增加程度、显效率、总有效率明显高于对照组(P<0.01)。结论做好溶栓护理观察是确保安全的前提和条件,尿激酶早期静脉溶检治疗急性脑梗死病人临床疗效好。

关 键 词:急性脑梗死  静脉溶栓  护理

Nursing on Acute Cerebral Infarction of Thrombolysis Treatment with Urokinase
CHEN Yu-ge,LI Wen.Nursing on Acute Cerebral Infarction of Thrombolysis Treatment with Urokinase[J].Guide of China Medicine,2008,6(21).
Authors:CHEN Yu-ge  LI Wen
Affiliation:Department of Neurology; Shanghai Yangpu Central Hospital; Shanghai 200090; China;
Abstract:Objective To evaluate the nursing effect of early intravenous thrombolysis with uroki-nase in treatment of acute cerebral infarction.Methods The thrombolytic group 43 patients with acute cerebral in-farction were treated with 150×104urokinase as intravenous thrombolytic therapy with 6h after the onset.The increase degree of nervous function defect integral(ESS),the effective rate,and the total effective rate were observed2h,24h,7d and 14d after thrombolysis respectively,and the results were compared with th...
Keywords:Cerebral irffarction  Thrombolytic therapy  Nursing
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