摘要
目的探讨早期静脉溶栓治疗老年轻型急性缺血性脑卒中的效果。方法选取2018年2月至2019年2月佛山市三水区人民医院收治的老年轻型急性缺血性脑卒中患者116例。根据治疗方式不同分为对照组(常规治疗)和观察组(早期静脉溶栓治疗)各58例。比较2组神经功能缺损状况和复发率。结果随治疗时间延长,2组NIHSS评分均呈降低趋势,观察组神经功能缺损(NIHSS)评分低于对照组,组间、时点间、组间·时点间交互作用差异有统计学意义(P<0.05)。观察组复发率低于对照组,差异有统计学意义(P<0.05)。结论老年轻型急性缺血性脑卒中患者实施早期静脉溶栓治疗可提高临床疗效,改善神经功能缺损,值得临床推广应用。
Objective To study the efficacy of early intravenous thrombolysis and analyze its value in the treatment of elderly patients with mild acute ischemic stroke.Methods A total of 116 elderly patients with mild acute ischemic stroke in our hospital from February 2018 to February 2019 were selected.According to different treatment methods,they were divided into control group(routine treatment)and observation group(early intravenous thrombolysis),with 58 cases in each group.The therapeutic effects of the two groups were compared.Results In this study,the NIHSS score of the observation group was lower than that of the control group 7 dand 14 d after treatment,and the difference was statistically significant(P<0.05).The recurrence rate of the observation group was lower than that of the control group,with statistically significant difference(P<0.05).Conclusion Early intravenous thrombolysis in elderly patients with mild acute ischemic stroke can increase the clinical efficacy and improve the neurological deficit,which is worthy of promotion.
作者
孙玙
SUN Yu(Foshan Sanshui District People's Hospital,Guangdong 528100,China)
出处
《中国误诊学杂志》
CAS
2019年第11期497-498,共2页
Chinese Journal of Misdiagnostics
关键词
卒中
静脉溶栓治疗
早期治疗
stroke
intravenous thrombolytic therapy
early treatment