论文部分内容阅读
目的:观察院前急救与急诊脑动脉内溶栓一体化治疗急性脑梗死的临床疗效,探讨急性脑梗死临床治疗的新模式。方法:采用院前急救与急诊脑动脉内溶栓一体化的治疗模式治疗57例急性脑梗死患者,观察脑血管再通率和患者生存率,采取欧洲卒中量表(ESS)及,Barthel指数(BI),评价患者神经功能的恢复情况。结果:在超早期时间窗内接受溶栓治疗率达91.2%,在3h、6h、12h内接受溶栓治疗的再通率分别为:96.7%、85.7%、60.0%;病死率分别是:0%、4.76%、20.00%;致残率及接近治愈-完全恢复率:0%、9.5%、20.0%;近完全恢复率为:96.8%、85.7%、60.0%。结论:院前急救与急诊脑动脉内溶栓一体化的治疗模式显著缩短了治疗流程,提高了脑血管再通率和神经功能恢复率,值得在临床推广应用。
Objective: To observe the clinical efficacy of prehospital first aid and emergency intra-arterial thrombolysis in the treatment of acute cerebral infarction, and to explore a new clinical treatment model of acute cerebral infarction. Methods: Fifty-seven patients with acute cerebral infarction were treated with pre-hospital emergency and intra-arterial thrombolysis in emergency department. Cerebral revascularization rate and patient survival rate were observed. ESS and Barthel index BI) to evaluate the recovery of neurological function in patients. Results: The rate of thrombolytic therapy in the ultra-early time window was 91.2%. The recanalization rates of thrombolytic therapy within 3h, 6h and 12h were 96.7%, 85.7% and 60.0% respectively. The mortality rates were 0 %, 4.76%, 20.00%. Morphing rate and near cure - complete recovery rate: 0%, 9.5%, 20.0%; Nearly complete recovery rate: 96.8%, 85.7%, 60.0%. Conclusion: The pre-hospital emergency and intra-arterial intra-arterial thrombolysis combined with thrombolytic therapy significantly shortened the treatment process and improved the rate of cerebrovascular recanalization and neurological recovery, which is worthy of clinical application.