摘要
目的探究不同时间窗rt-PA静脉溶栓用于急性脑梗死的效果。方法选取2023年1—12月本院收治的90例急性脑梗死患者,平均分组。两组均进行rt-PA静脉溶栓,其中对照组发病3~4.5 h溶栓,观察组在发病3 h内溶栓,比较两组临床疗效。结果观察组的有效率高于对照组;观察组的NIHSS与mRS评分低于对照组,Barthel指数高于对照组;观察组生活质量评分高于对照组(P<0.05)。结论在急性脑梗死的治疗中,选用早期rt-PA静脉溶栓方案,可提升疗效,改善患者预后。
Objective To explore the effect of different time Windows of rt-PA intravenous thrombolysis on acute cerebral infarction.Methods 90 patients with acute cerebral infarction in our hospital from January 2023 to December 2023 were selected and divided into 45 cases each.rt-PA intravenous lysis was performed in both groups.The control group was thrombolytic within 3-4.5 hours of onset,and the observation group was thrombolytic within 3 hours of onset.The clinical efficacy of the two groups was compared.Results The effective rate of observation group was higher than that of control group.The NIHSS and mRS Scores of the observation group were lower than those of the control group,and the Barthel index was higher than that of the control group.The life quality score of observation group was higher than that of control group(P<0.05).Conclusion In the treatment of acute cerebral infarction,early rt-PA intravenous thrombolysis can improve the curative effect and promote the prognosis of patients.
作者
贾强
李美娜
JIA Qiang;LI Meina(Emergency Department,Tianshui First People's Hospital,Tianshui,Gansu 741000;Department of Neurology,Tianshui First People's Hospital,Tianshui,Gansu 741000)
出处
《智慧健康》
2025年第15期56-58,62,共4页
Smart Healthcare
关键词
RT-PA静脉溶栓
不同时间窗
急性脑梗死
神经损伤
rt-PA intravenous thrombolysis
Different time Windows
Acute cerebral infarction
Nerve injury
