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急性脑梗死早期行微导管动脉溶栓治疗的护理
引用本文:陈叶香,易萍,吕美云.急性脑梗死早期行微导管动脉溶栓治疗的护理[J].中华现代护理杂志,2011,17(5):518-520.
作者姓名:陈叶香  易萍  吕美云
作者单位:江苏省南通大学附属医院门诊部,226001
摘    要:目的 探讨急性脑梗死早期动脉溶栓治疗护理配合的重要性.方法 对37例急性脑梗死早期选择性行微导管动脉溶栓治疗的患者,进行规范的术前准备、术中护理配合、术后的病情观察与护理.结果 37例患者治疗3个月后随访,21例发病6 h内行动脉溶栓治疗预后好的患者占80.95%,16例发病6~24 h行动脉溶栓治疗预后好的患者占68.75%,提高了患者的生存质量.结论 急性脑梗死早期选择性行微导管动脉溶栓治疗疗效良好,行微导管动脉溶栓治疗中规范的术前准备、术中护理配合、术后的病情观察与护理至关重要.

关 键 词:急性脑梗死  动脉溶栓  护理

The nursing coordination of acute cerebral infarction patients undergoing early arterial thrombolysis
CHEN Ye-xiang,YI Ping,LV Mei-yun.The nursing coordination of acute cerebral infarction patients undergoing early arterial thrombolysis[J].Chinese Journal of Modern Nursing,2011,17(5):518-520.
Authors:CHEN Ye-xiang  YI Ping  LV Mei-yun
Institution:CHEN Ye-xiang(Outpatient Department, The Affiliated Hospital of Nantong University,Nantong 226001, China) YI Ping(Outpatient Department, The Affiliated Hospital of Nantong University,Nantong 226001, China) LV Mei-yun(Outpatient Department, The Affiliated Hospital of Nantong University,Nantong 226001, China)
Abstract:Objective To approach the importance of nursing coordination of early arterial thrombolysis in acute cerebral infarction (ACI). Methods 37 cases of ACI early selective micro-catheter arterial thrombolytic therapy were observed and nursed after the standard preoperative preparation, intraoperative nursing coordination, postoperative condition observation and nursing care. Results 80.95% of 21cases had much improvement of symptoms after arterial thrombolytic therapy and care within 6h;68.75% within 6 ~ 24 h. The rate of disability in patients with ACI were significantly reduced and the quality of life of patients were improved.Conclusions Early selective micro-catheter arterial thrombolytic therapy is of benefit for the acute cerebral infarction patient. The standard preoperative preparation, intraoperative nursing coordination, postoperative condition observation and nursing care are essential.
Keywords:Acute cerebral infarction  Arterial thrombolysis  Nursing
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