Nursing care of arterial thrombolysis combined with mechanical thrombectomy in the treatment of acute cerebral infarction
动脉溶栓联合机械取栓治疗急性脑梗死的护理

摘要

目的 分析急性脑梗死患者采取动脉溶栓联合机械取栓期间的护理方法及效果。方法 急性脑梗死患者入院后，采取动脉溶栓联合机械取栓治疗，治疗期间分组采取护理措施，对照组采取常规护理、观察组采取机械取栓护理，研究不同护理模式下的致残率、血管再通率、护理满意度、神经功能、生活能力。结果 两组患者血管再通率无明显差异（p>0.05），观察组致残率比对照组低，护理满意度比对照组高，p<0.05，护理后，观察组患者NIHSS评分低于对照组，ADL评分高于对照组，p<0.05。结论 急性脑梗死患者采取动脉溶栓联合机械取栓治疗有利于挽救患者生命，联合综合护理措施，降低患者残疾率，提升生活自理能力。

Abstract

Objective To analyze the nursing methods and effects of patients with acute cerebral infarction during arterial thrombolysis combined with mechanical thrombectomy.
Methods After admission, patients with acute cerebral infarction were treated with arterial thrombolysis combined with mechanical thrombectomy. Nursing measures were taken during the treatment period. The control group received routine nursing and the observation group received mechanical thrombectomy nursing. Vascular recanalization rate, nursing satisfaction, neurological function, life ability.
Results There was no significant difference in the vascular recanalization rate between the two groups (p>0.05). The disability rate of the observation group was lower than that of the control group, and the nursing satisfaction was higher than that of the control group, p<0.05. After nursing, the NIHSS score of the observation group was lower than that of the control group. In the control group, the ADL score was higher than that in the control group, p<0.05.
Conclusion   Arterial thrombolysis combined with mechanical thrombectomy in patients with acute cerebral infarction can save the patient's life. Combined with comprehensive nursing measures, the disability rate of patients can be reduced and the self-care ability can be improved.