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目的比较研究不同溶栓方法治疗心源性脑栓塞的效果。方法 124例心源性脑栓塞患者,随机分为观察组与对照组,各62例。观察组采用动脉溶栓对患者进行治疗,对照组采用静脉溶栓对患者进行治疗。对比两组患者的治疗效果。结果经比较,观察组临床总有效率为100.00%,明显高于对照组的82.26%,差异具有统计学意义(P<0.05);两组患者治疗后24 h、1周、2周的美国国立卫生研究院卒中量表(NIHSS)评分比较差异具有统计学意义(P<0.05)。结论动脉溶栓能够提高心源性脑栓塞的治疗效果,降低患者脑损伤程度,提高患者的自理能力。
Objective To compare the effects of different thrombolysis methods in the treatment of cardiogenic cerebral embolism. Methods 124 patients with cardiogenic cerebral embolism were randomly divided into observation group and control group, 62 cases in each. Patients in the observation group were treated with arterial thrombolysis, and patients in the control group were treated with intravenous thrombolysis. Compare the treatment effect of two groups of patients. Results Compared with the control group, the total effective rate in the observation group was 100.00%, which was significantly higher than that in the control group (82.26%) (P <0.05). The two groups of patients were treated 24 hours, 1 week and 2 weeks after treatment. The NIHSS score was significantly different (P <0.05). Conclusion Arterial thrombolysis can improve the therapeutic effect of cardiogenic cerebral embolism, reduce the degree of brain injury and improve the self-care ability of patients.