摘要
目的:探讨急性脑梗死患者超早期尿激酶(UK)静脉溶栓治疗的效果及护理方法。方法:将96例急性脑梗死患者随机分为UK组和对照组各48例,UK组将UK 150万U加入生理盐水100ml中静脉滴注,30min内滴完;对照组采用常规治疗方案。评价治疗前和治疗后1d、7d、14d、90d的神经功能缺损评分(ESS)。结果:治疗后1d、7d、14d、90d时,UK组ESS分值明显增加,与对照组比较有显著性差异(P<0.05);UK组用药后90d总有效率为89.58%,对照组为70.08%,两组比较有显著性差异(P<0.05)。结论:急性脑梗死超早期UK静脉溶栓治疗比常规治疗起效快、疗效好、安全可靠,值得临床推广。
Objective:To explore the effect of ultra-early intravenous thrombolysis with urokinase on treating acute cerebral infarction and nursing methods.Methods:Ninety patients with acute cerebral infarction were divided into UK group(n=48) and control group(n=48) at random.Intravenous infusion was used and finished within 30 min.(1.5×106 U urokinase in 100ml normal saline) in UK group and routine treatment was taken in control group.ESS was respectively made in 1d,7d,14d and 90d before and after treatment.Results:The scores of ESS was obviously increased in 1d,7d,14d and 90d after treatment in UK group and significant difference was found in the comparison between the two groups(P<0.05);The total effective rate was 89.58% after treatment in UK group and 70.08% in control group,there was significant difference(P<0.05).Conclusion:Ultra-early intravenous thrombolysis with urokinase works quickly and is effective and safe in the treatment of acute cerebral infarction,comparing with conventional treatment.
出处
《齐鲁护理杂志》
2007年第19期11-12,共2页
Journal of Qilu Nursing
关键词
急性脑梗死
尿激酶
静脉溶栓
护理
Acute cerebral infarction
Urokinase
Intravenous thrombolysis
Nursing
