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尿激酶静脉溶栓治疗急性脑梗死的影响因素分析

农媛 肖海 陈奎 张泰鹏 李秀芬

中国实用神经疾病杂志2017,Vol.20Issue(20):30-33,4.
中国实用神经疾病杂志2017,Vol.20Issue(20):30-33,4.DOI:10.3969/j.issn.1673-5110.2017.20.007

尿激酶静脉溶栓治疗急性脑梗死的影响因素分析

Analysis of the influence factors of thrombolytic therapy of urokinase in patients with acute cerebral infarction

农媛 1肖海 1陈奎 1张泰鹏 1李秀芬1

作者信息

  • 1. 贵港市人民医院神经内科 ,广西 贵港 537100
  • 折叠

摘要

Abstract

Objective To analyze of the influence factors of thrombolytic therapy of urokinase in patients with acute cerebral infarction and assess the therapeutic effect.Methods From January 2012 to June 2016 ,129 patients with acute cerebral infarction treated with intravenous urokinase thrombolysis therapy were divided into effective group and ineffective group according to the effect of thrombolytic therapy with urokinase.The age ,sex ,smoking ,drinking ,diabetes ,hypertension ,stroke history ,onset to treatment time ,door to needle time ,baseline NIHSS score ,baseline MA ,baseline LDL-C level ,atrial fibrillation and arterial stenosis or occlusion were compared between the two groups.Results Univariate analysis showed that the time of onset to throm-bolysis was significantly shorter in the effective group ,and the proportion of hypertension history ,diabetes history and the propor-tion of arterial stenosis or occlusion were significantly lower in the effective group than in the ineffective group.Conclusion The effect of urokinase thrombolytic therapy was poor in the acute cerebral infarction patient with longer onset to treatment time ,dia-betes history and arterial stenosis or occlusion.

关键词

急性脑梗死/尿激酶/静脉溶栓/影响因素

Key words

Acute cerebral infarction/Urokinase/Intravenous thrombolysis/Influence factors

分类

医药卫生

引用本文复制引用

农媛,肖海,陈奎,张泰鹏,李秀芬..尿激酶静脉溶栓治疗急性脑梗死的影响因素分析[J].中国实用神经疾病杂志,2017,20(20):30-33,4.

基金项目

贵港市科研究与技术开发计划项目,编号:1607005 ()

中国实用神经疾病杂志

1673-5110

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