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目的对脑梗死患者施行静脉溶栓治疗前后的相关状况和指标进行评价分析。方法 2003年1月2010年11月对神经内科收治的29例脑梗死患者予以静脉溶栓治疗及护理,并就治疗前后各相关时间点血压监测及美国国立卫生研究院卒中量表(National Institute of Health stroke scale,NIHSS)评分情况进行分析。结果溶栓前后血压对比显示:溶栓后2h收缩压相对于溶栓前和溶栓后24h升高(P<0.05);溶栓前后NIHSS评分差异有统计学意义(P<0.05)。结论溶栓后患者收缩压出现升高,护理上应该加强血压监控,为临床治疗提供支持。
Objective To evaluate and analyze the related status and indexes before and after intravenous thrombolysis in patients with cerebral infarction. Methods Thirty-nine patients with cerebral infarction admitted to Department of Neurology were treated with intravenous thrombolysis in January 2003 and November 2010. The blood pressure monitoring and the National Institute of Health Stroke Scale Health stroke scale, NIHSS) score. Results The comparison of blood pressure before and after thrombolysis showed that the systolic blood pressure at 2h after thrombolysis was increased compared with that before thrombolysis and 24h after thrombolysis (P <0.05). The NIHSS scores before and after thrombolysis were significantly different (P <0.05). Conclusion The systolic blood pressure of patients after thrombolysis appears to increase, and the nursing care should strengthen the monitoring of blood pressure, and provide support for clinical treatment.