摘要
Abstract
Objective:To evaluate the effectiveness and safety of the nursing strategies of acute ischemic stroke (AIS)patients accepted rt PA intravenous thrombolysis and combined thrombolysis under the guidance of multi mode image.Methods:Total of 1 7 patients with AIS who underwent arterial and veno venous therapy from January 2014 to December 2014 were enrolled in the study.At the time before treatment,1 h,2 h,24 h after treatment and discharge,patients were assessed by the National Institutes of Health Stroke Scale(NIHSS)to e-valuate the neurological deficit.At discharge and 90 days after the treatment,patients were assessed by modified Barthel Index(MBI)to evaluate their ability of daily living,and modified Rankin Scale(mRS)to assess neural functional prognosis.Results:Among the 1 7 patients,1 died,1 developed cerebral hemorrhage,and 1 became sub-arachnoid hemorrhage;in the remaining 14 cases,the NIHSS score at discharged(7.36±7.51)was significantly reduced compare with pre thrombolysis(16.57±6.07),the difference was statistically significant(P=0.000).In daily life ability,MBI score at 90d post treatment(56.79±13.12)was higher than discharged(50.07±13.57), the difference was statistically significant(P=0.004).The mRS score at 90d post treatment(2.57±1.56)also higher than discharged(1.71 ±1.78),which achieved significant difference(P=0.001).Conclusion:Under the guidance of multimodal images,the individualized management of stroke patients could shorten the time of thrombolysis(intravenous thrombolysis)and the time of treatment (endovascular treatment).Extended time window could increase the patients’opportunities receiving thrombolysis treatment,effectively improve the re-canalization rate,and promote neurological function recovery and daily living ability.关键词
急性缺血性卒中/多模影像/静脉溶栓/血管内治疗/扩大时间窗/护理Key words
acute ischemic stroke/multimodal imaging/intravenous thrombolysis/endovascular treatment/ex-tended time window/nursing分类
医药卫生
