尿激酶静脉溶栓治疗急性脑梗死临床护理体会

摘要

Objective:To analyse the nursing about of urokinase intravenous thrombolysis in the treatment of acute cerebral infarction.Method:70 cases of patients with acute cerebral infarction were selected from August 2011 to August 2013,the patients all used urokinase intravenous thrombolysis treatment,the nursing group(40 cases) were for the whole nursing in thrombolysis meanwhile,the control group(30 cases) used routine nursing;then compared the blood glucose and blood lipid changes of the two groups before and after the treatment(the nursing),the clinical effectiveness and patients satisfaction of nursing.Result:All the index level of blood glucose and blood lipid was lower than that in the nursing group after the treatment(the nursing);the effective rate of the nursing group was 90.0%,and the rate of the control group was 76.7%;the satisfaction rate of the patients in the nursing group was 92.5%,and the rate in the control group was 73.3%,there were statistical significance(P<0.05).Conclusion:The effect about of urokinase intravenous thrombolysis in the treatment of acute cerebral infarction is significant,if the clinical take reasonable care measures around the time of thrombolysis,will improve curative effect,and the the satisfaction rate of nursing.%目的：分析急性脑梗死采用尿激酶行静脉溶栓治疗的护理。方法：选取2011年8月-2013年8月收治的急性脑梗死患者70例，均采用尿激酶行静脉溶栓治疗，护理组(40例)同时行围溶栓期的护理，对照组(30例)行常规护理，对比两组治疗(护理)前后血糖和血脂变化情况、临床有效率及患者对护理情况的满意率。结果：治疗(护理)后，护理组血糖与血脂各指标水平均降低更为明显；护理组治疗有效率90.0%，对照组为76.7%；护理组患者满意率92.5%，对照组为73.3%，差异均有统计学意义(P<0.05)。结论：急性脑梗死采用尿激酶静脉溶栓治疗效果明显，同时于围溶栓期采取合理的护理措施，可改善疗效，提高护理满意度。