论文部分内容阅读
目的探讨急性前循环脑梗死病人静脉溶栓流程改造前后治疗方法的疗效。方法收集136例急性前循环脑梗死病人的临床资料,所有病例均在发病4.5h内,均予以静脉溶栓治疗,根据病人诊治时间分为早期溶栓组和流程优化溶栓治疗组。选择同期内科保守治疗病人136例作为对照组。结果 136例溶栓病人,溶栓24h和2周后进行神经功能评分明显优于保守治疗组。静脉溶栓治疗出血风险相对增高,流程优化组较早期溶栓组出血率降低,而疗效更好。结论给予急性前循环脑梗死病人进行静脉溶栓流程优化治疗,疗效优于同期保守治疗者。
Objective To investigate the curative effect of pre-and post-intravenous thrombolysis in patients with acute anterior circulation cerebral infarction. Methods The clinical data of 136 patients with acute anterior circulation cerebral infarction were collected. All patients were treated by intravenous thrombolysis within 4.5 hours. According to the time of diagnosis and treatment, the patients were divided into early thrombolytic group and optimized thrombolysis group. Select the same period conservative treatment of 136 cases of patients as a control group. Results 136 cases of thrombolytic patients, thrombolysis 24h and two weeks after the neurological score was significantly better than the conservative treatment group. The risk of hemorrhage by intravenous thrombolysis was relatively higher, and the hemorrhage rate of thrombolytic group in the process optimization group was lower, and the curative effect was better. Conclusions The patients with acute anterior circulation cerebral infarction were treated optimally by intravenous thrombolysis, and the curative effect was better than conservative treatment.