摘要
目的 探究阿司匹林急诊治疗血栓性脑梗死的效果。方法 以随机分组方式将本院2023年2月—2024年2月88例血栓性脑梗死患者分为两组,每组44例。对照组进行常规急诊治疗,观察组在对照组治疗基础上增加阿司匹林治疗,比较两组的临床疗效。结果 治疗后,观察组治疗有效率高于对照组(P<0.05);观察组美国国立卫生研究院卒中量表(NIHSS)评分低于对照组,Barthel指数(BI)高于对照组(P<0.05);观察组纤维蛋白原(Fib)、部分活化凝血活酶时间(APTT)、凝血酶原时间(PT)、D-二聚体(D-D)均优于对照组(P<0.05)。结论 在血栓性脑梗死的治疗中,增加阿司匹林,能够更好地改善患者的神经功能,强化治疗效果,有效改善患者的凝血指标,具有极高的应用价值。
Objective To explore the effect of aspirin in emergency treatment of thrombotic cerebral infarction.Methods A total of 88 patients with thrombotic cerebral infarction in our hospital from February 2023 to February 2024 were studied by random grouping(control group,observation group,n=44).The control group received routine emergency treatment,and the observation group was added aspirin.The clinical efficacy of the two groups was compared.Results After treatment,the effective rate of the observation group was higher than that of the control group(P<0.05);The National Institutes of Health Stroke Scale(NIHSS)score in the observation group was lower than that in the control group,and the Barthel Index(BI)was higher than that in the control group(P<0.05);The observation group showed better levels of fibrinogen(Fib),partially activated thromboplastin time(APTT),prothrombin time(PT),and D-dimer(D-D)compared to the control group(P<0.05).Conclusion In the treatment of thrombotic cerebral infarction,the addition of aspirin can better improve the nerve function of patients,and the therapeutic effect is better.At the same time,it can effectively improve the coagulation index of patients,which has a high application value.
作者
黄宇芳
HUANG Yufang(Emergency Department,Tingzhou Hospital,Longyan,Fujian 366300)
出处
《智慧健康》
2025年第14期76-78,共3页
Smart Healthcare
关键词
阿司匹林
急诊治疗
血栓性脑梗死
神经功能
Aspirin
Emergency treatment
Thrombotic cerebral infarction
Neural function
