Observation on the effect of intravenous thrombolysis with alteplase in patients with cerebral infarction bycritical thinking
运用评判性思维对脑梗死患者使用阿替普酶静脉溶栓后的效果观察

摘要

目的 对脑梗死患者实施阿替普酶静脉溶栓后评判性思维的应用效果 。方法 以 2021.1.1~2022.12.30 期间收治的 60 例脑梗死患者为例，随机分成对照组、观察组，全部患者均接受阿替普 酶静脉溶栓，前者溶栓后实施常规护理，后者溶栓后采用评判性思维综合护理，每组 30 例，对两组日常生 活能力（BI 评分）、美国国立卫生研究院卒中量表(NIHSS)、生活质量评估。结果 干预后，观察组 BI 评分 较对照组高，差异显著，（P＜0.01）。干预后，观察组 NIHSS 评分较对照组低，差异显著，（P＜0.01）。 干预后，观察组躯体健康、心理健康、生理功能等 SF − 36 评分较对照组高，差异显著，（P＜0.01）。结 论 对于采用阿替普酶静脉溶栓的脑梗死患者，溶栓后运用评判性思维，对提升患者生活质量以及日常生活 能力，改善疾病状态有着重要的意义。

Abstract

Objective To evaluate the effect of critical thinking in patients with cerebral infarction after intravenous thrombolysis with alteplase.
Methods 60 patients with cerebral infarction treated from January 1, 2021 to December 30, 2022 were randomly divided into control group and observation group. All patients received intravenous thrombolysis with alteplase. The former received routine nursing after thrombolysis, and the latter received comprehensive nursing with critical thinking after thrombolysis. There were 30 patients in each group. The activities of daily living (BI score), National Institutes of Health Stroke Scale () and quality of life of the two groups were evaluated.
Results after the intervention, the Bi score of the observation group was significantly higher than that of the control group (P < 0.01). After the intervention, the score of the observation group was significantly lower than that of the control group (P < 0.01). After the intervention, the scores of physical health, mental health and physiological function in the observation group were significantly higher than those in the control group (P < 0.01).
Conclusion   for cerebral infarction patients with intravenous thrombolysis with ateplase, the use of critical thinking after thrombolysis is of great significance to improve the quality of life and the ability of daily living of patients, and improve the state of disease.