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华西医学  2011 

重组人组织型纤溶酶原激活剂溶栓脑梗死患者卒中评分与血压测量结果分析

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Keywords: 脑梗死,重组人组织型纤溶酶原激活剂溶栓,血压监测,美国国立卫生研究院卒中量表评分

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Abstract:

【】 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(NationalInstituteofHealthstrokescale,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。【Abstract】 Objective Toinvestigatethecorrelatedconditionandclinicalindexchangesbeforeandaftertheintravenousthrombolysisofthecerebralinfarctionpatients. Methods ThebloodpressureandtheNationalInstitutesofHealthstrokescale(NIHSS)scoreof29cerebralinfarctionpatientswiththeintravenousthrombolysistreatmentbetweenJanuary2003andNovember2010weremeasuredandanalyzed. Results Twohoursafterthethrombolysis,thesystolicbloodpressuresignificantlyincreasedcomparedwiththosebeforetheintravenousthrombolysisand24hoursafterintravenousthrombolysis(P<0.05).NIHSSscorewassignificantlydecreasedafterthethrombolysis(P<0.05). Conclusions Systolicbloodpressuresignificantlyincreasesaftertheintravenousthrombolysis.Intensivebloodpressuremonitoringandcontrollingmaybebeneficialtothetreatmentandprognosis.

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