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脑梗塞应用氯吡格雷联合阿司匹林方案治疗的观察及护理要点 研究

作者:武丽霞

所属单位:郑州市瑞龙纺织有限公司职工医院内科 (河南 郑州 450000)

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摘要

目的 探究脑梗塞应用氯吡格雷联合阿司匹林治疗的效果及护理要点。方法 以2015年9月11日至2017年5月20日来我 院接受救治的84例脑梗塞患者作为观察对象,使用单双号编号法对84例患者进行分组。单一组42例患者应用氯吡格 雷治疗,联合组42例患者在单一组患者的基础上应用阿司匹林治疗,两组脑梗塞患者均实施整体护理干预,研究对 比两组脑梗塞患者的神经功能缺损评分及日常生活活动能力评分。结果 联合组和单一组患者治疗后的神经功能缺 损评分及日常生活活动能力评分均较治疗前明显改善,但联合组患者的神经功能缺损评分为(17.32±3.78)分,相 比单一组明显更低,日常生活活动能力评分为(81.65±4.65)分,相比单一组明显更高,P<0.05。结论 应用氯吡 格雷联合阿司匹林治疗脑梗塞的效果更显著,为保证治疗效果,对患者配合整体护理干预亦十分重要。

Objective To investigate the effect and nursing points of clopidogrel combined with aspirin on treatment of cerebral infarction. Methods 84 cases with cerebral infarction in our hospital from September 11, 2015 to May 20, 2017 were selected and divided according to single - double number method. Single group (42 cases) was given clopidogrel treatment, combined group (42 cases) was given aspirin on basis of the single group, the two groups were all given holistic nursing intervention, NIHSS, scores of daily activity ability of the two groups were studied and compared. Results NIHSS, scores of daily activity ability of the two groups after treatment were all significantly improved compared with those before treatment, but NIHSS of the combined group (17.32±3.78) was lower than that of the control group, scores of daily activity ability of the observation group was (81.65±4.65), significantly higher than that of the single group, P<0.05. Conclusion The application of clopidogrel combined with aspirin has significant effect on treatment of cerebral infarction, in order to guarantee the treatment effect, the patients' compliance to holistic nursing intervention is very important.

【关键词】脑梗塞;氯吡格雷;阿司匹林;效果;护理

【中图分类号】R742

【文献标识码】A

【DOI】10.3969/j.issn.1009-3257.2018.06.028

前言

脑梗塞属于临床较危急的疾病之一,具有较高的 病死率及致残率,严重威胁了患者的生存质量及生命 安全,因此,对其实施及时有效治疗尤为重要[1]。我 院对42例脑梗塞患者应用氯吡格雷联合阿司匹林治 疗,以探究氯吡格雷联合阿司匹林治疗的效果,见如 下报道。