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重组组织型纤溶酶原激活剂静脉溶栓治疗后循环脑梗死的疗效及安全性评价

贺显君 路文革 张潇 赵明 代全德 张建平

中国实用神经疾病杂志2017,Vol.20Issue(4):15-17,3.
中国实用神经疾病杂志2017,Vol.20Issue(4):15-17,3.

重组组织型纤溶酶原激活剂静脉溶栓治疗后循环脑梗死的疗效及安全性评价

Efficacy and safety of recombinant tissue-type plasminogen activator applied to intravenous thrombolysis in treat-ment of posterior circulation cerebral infarction

贺显君 1路文革 1张潇 1赵明 1代全德 1张建平1

作者信息

  • 1. 河南商丘市第一人民医院神经内科 商丘 476100
  • 折叠

摘要

Abstract

Objective To explore the efficacy and safety of rt-PA(recombinant tissue-type plasminogen activator)applied to intravenous thrombolysis in the treatment of posterior circulation cerebral infarction.Methods Sixty-two cases with posterior cir-culation cerebral infarction in our hospital from September 2013 to September 201 5 were selected.According to the different treat-ment methods,they were divided into routine group and study group,31 cases in each group.The routine group was treated by conventional therapy,and the study group was treated with rt-PA thrombolytic therapy.We compared NIHSS scores before and af-ter treatment,clinical effects,secondary cerebral hemorrhage rate,mortality and the occurrence of vascular occlusion between the two groups.Results Compared with the routine group,the NIHSS scores in the study group were lower after treatment,and the difference was statistically significant(P <0.05 ).Furthermore,the study group(93.5%)showed higher total effective rate than the routine group(64.5%)with the significant difference(P <0.05).There were no significant differences as for secondary cerebral hemorrhage rate,incidence of vascular occlusion and mortality between the two groups(P >0.05).Conclusion rt-PA thrombolytic therapy for patients with posterior circulation cerebral infarction can significantly improve the neurological function,has an obvious clinical efficacy and plays an important role in clinical treatment with high safety.

关键词

重组组织型纤溶酶原激活剂/静脉溶栓/后循环脑梗死

Key words

Recombinant tissue type plasminogen activator/Intravenous thrombolysis/Posterior circulation cerebral infarc-tion

分类

医药卫生

引用本文复制引用

贺显君,路文革,张潇,赵明,代全德,张建平..重组组织型纤溶酶原激活剂静脉溶栓治疗后循环脑梗死的疗效及安全性评价[J].中国实用神经疾病杂志,2017,20(4):15-17,3.

中国实用神经疾病杂志

1673-5110

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