短暂性脑缺血发作患者的临床处理体会

目的总结和探讨短暂性脑缺血发作(TIA)患者在不同治疗方式下的疗效比较。方法将2008年6月至2010年6月在我院住院的63例短暂性脑缺血发作患者随机分为两组,观察组和对照组,两组均给予抗血小板药物阿司匹林治疗,观察组加用低分子肝素钠治疗,治疗2周后随访1年观察两组疗效。结果观察组患者有效率为90.32%,对照组患者有效率为59.38%,观察组有效率明显高于对照组,差异有统计学意义(P<0.05)。结论抗血小板治疗联合扩容抗凝治疗比单独抗血小板治疗对短暂性脑缺血发作患者疗效更好,值得临床推广应用。

Experience of Clinical Treatment on Transient Ischemic Attack

Objective To summarize and discuss the efficacy of transient ischemic attack(TIA) patients under different treatment modalities.Methods Of June 2008 to June 2011 in our hospital for transient ischemic attack,63 patients were randomly divided into two groups,observation and control groups,two groups were given antiplatelet drugs aspirin while Observation group were added Nadroparin Calcium for 2 weeks,and got follow-uped in 1 year.Results The patients in control groups have an effective rate of 90.32% and control group patients have an effective rate of 59.38%.The observed group was significantly higher and the difference was statistically significant(P<0.05).Conclusion The anti-platelet therapy with the expansion and anticoagulant treatment on transient ischemic attack is better efficacy than antiplatelet therapy alone which is worthy of clinical application.