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目的分析综合护理干预在急性脑梗死溶栓治疗中的效果。方法选取2011年2月—2014年2月在榆树市第一人民医院接受溶栓治疗的急性脑梗死患者148例,随机分为观察组和对照组,各74例。两组患者在溶栓治疗的同时给予急性脑梗死的常规护理,观察组在常规护理基础上应用综合护理干预。观察两组患者临床疗效、血清白介素6水平、日常生活能力及护理满意度。结果观察组患者总有效率为85.14%,高于对照组的60.82%(P<0.05)。两组患者干预前血清白介素6平均水平比较,差异无统计学意义(P>0.05);干预后观察组患者血清白介素6水平低于对照组(P<0.01);两组患者干预后血清白介素6水平低于干预前(P<0.05)。干预前两组患者日常生活能力评分比较,差异无统计学意义(P>0.05);干预后观察组患者日常生活能力评分高于对照组(P<0.01);观察组患者护理满意度高于对照组(P<0.05)。结论综合护理干预在急性脑梗死溶栓治疗中的效果显著,有助于降低血清白介素6水平,改善患者预后,提高患者护理满意度。
Objective To analyze the effect of comprehensive nursing intervention in thrombolytic therapy of acute cerebral infarction. Methods A total of 148 acute cerebral infarction patients who received thrombolytic therapy in the First People’s Hospital of Yushu from February 2011 to February 2014 were randomly divided into observation group and control group, with 74 cases in each group. Patients in both groups were given routine care of acute cerebral infarction simultaneously with thrombolytic therapy. The observation group received general nursing intervention on the basis of routine nursing. Clinical efficacy, serum interleukin-6 level, daily living ability and nursing satisfaction were observed in two groups. Results The total effective rate of the observation group was 85.14%, which was higher than that of the control group (60.82%, P <0.05). The levels of serum interleukin-6 in the two groups before intervention were not significantly different (P> 0.05). The levels of serum IL-6 in the observation group were lower than those in the control group after intervention (P <0.01) The level was lower than before intervention (P <0.05). The score of daily living ability of the two groups before intervention was no significant difference (P> 0.05). After the intervention, the daily living ability score of the observation group was higher than that of the control group (P <0.01); the nursing satisfaction of the observation group was higher than that of the control group Group (P <0.05). Conclusion Comprehensive nursing intervention in acute cerebral infarction thrombolytic therapy significantly, will help reduce serum interleukin 6 levels, improve patient prognosis and improve patient satisfaction with nursing.