摘要
急性缺血性脑卒中一般是指患者机体内突然中断脑供血,脑部缺血从而导致患者的脑组织出现坏死
的现象,该病主要是由于患者的为脑部血液提供供给的动脉出现了血栓等情况,使得患者管腔闭塞,导致局灶性
急性脑供血不足。目前在临床上治疗该病主要是依靠保守治疗的手段进行治疗,其中最常见的就是溶栓以及康宁
治疗,尤其是在改善患者脑组织缺血的状况方面,溶栓治疗发挥的作用非常显著,这种治疗手段不仅仅可以使得
患者缺血的脑组织重建血供循环,也可以对患者已经被损坏的神经细胞起到修复作用,从而使得治疗的效果更好。
对急性缺血性脑卒中静脉溶栓患者相关护理干预的效果进行综述,旨在为促进急性缺血性脑卒中静脉溶栓患者施
行更好的护理干预措施,加速患者康复进展,提高其日常生活能力,改善患者生活质量,提高患者满意度。
关键词: 急性缺血性脑卒中;静脉溶栓;护理干预;
Abstract
Acute ischemic stroke generally refers to the sudden interruption of cerebral blood supply in the
patient's body, and cerebral ischemia leads to the necrosis of the patient's brain tissue. The disease is mainly due to the
thrombosis of the artery that provides blood supply for the brain, which makes the patient lumen occlusion, leading to
focal acute cerebral blood supply insufficiency. Currently in clinical treatment of the disease is mainly rely on
conservative treatment, one of the most common is thrombolysis and corning treatment, especially in improving the
condition of brain tissue ischemia, thrombolytic therapy play a very significant role, this treatment can make patients not
only ischemia brain tissue reconstruction of blood circulation, can also repair patients has been damaged nerve cells, so
as to make the treatment effect better.This paper reviews the effects of nursing interventions related to acute ischemic
stroke patients with intravenous thrombolysis, in order to promote acute ischemic stroke patients with intravenous
thrombolysis to implement better nursing intervention measures, accelerate the progress of rehabilitation, improve their
daily life ability, improve the quality of life of patients, improve patient satisfaction.
Key words: acute ischemic stroke; Intravenous thrombolysis; Nursing intervention;
参考文献 References
[1] Wang D, Liu J, Liu M,et al. Patterns of Stroke Between University Hospitals and onuniversity Hospitals inMainland China: Prospective Multicenter Hospital-Based Registry Study. World Neurosurg. 2017 Feb;98:258-265.
[2] Rosbergen ICM,Brauer SG,Fitzhenry S,et al.Qualitativeinvestigation of the perceptions and experiences of nursing and allied health professionals involved in theimplementation of an enriched environment in an Australian acute strokeunit[J].BMJ Open,2017,7(12):e018226.
[3] 章惠如,王建伟,郭佩宣.从护理角度解读《中国急性缺血性脑卒中诊治指南 2014》[J].护理与康复,2016,15(08):762-764.
[4] Liu Z, Zhao Y, Liu D,et al. Effects of Nursing Quality Improvement on Thrombolytic Therapy for Acute Ischemic Stroke. Front Neurol. 2018 Nov 29;9:1025.
[5] 江帆,叶丽萍,孙克玉,等.院前院内协同救治平台在急性缺血性脑卒中静脉溶栓中的应用[J].护士进修杂志,2022,37(18):1682-1684.DOI:10.16821/j.cnki.hsjx.2022.18.011.
[6] 吕米娟,余静.综合护理干预对急性缺血性脑卒中患者就诊时间及静脉溶栓用药时间的影响研究[J].贵州医药,2022,46(02):326-327.
[7] 常红,赵洁,王晓娟,等.急性缺血性脑卒中患者静脉溶栓后出血预警模型的构建[J].中华护理杂志,2019,54(11):1648-1652.
[8] 廖艳红.急性缺血性脑卒中静脉溶栓血管再通后脑水肿的发生、演变及转归[J].河北医药,2019,41(19):3004-3006.
[9] 石宝洋,靳航,杨弋.急性缺血性脑卒中阿替普酶静脉溶栓相关并发症的临床研究进展[J].中风与神经疾病杂志,2018,35(03):275-278.DOI:10.19845/j.cnki.zfysjjbzz.2018.03.023.
[10] Powers WJ, Rabinstein AA, Ackerson T,et al. Guidelines for the Early Management of Patients With AcuteIschemic Stroke: 2019 Update to the 2018 Guidelines for the Early Management of Acute Ischemic Stroke:A Guideline for Healthcare Professionals From the American Heart Association/American Stroke Association. Stroke. 2019 Dec;50(12):e344-e418.
[11] 王晓云,赵颖,鹿倩倩.个性化心理护理在急性缺血性脑卒中患者静脉溶栓治疗中的影响探讨[J].心理月刊,2022,17(20):156-158.DOI:10.19738/j.cnki.psy.2022.20.049.
[12] 陆晓茜,查晓静,张亚琴.精细化早期康复护理干预在急性缺血性脑卒中静脉溶栓患者中的应用[J].齐鲁护理杂志,2022,28(19):100-103.
[13] 吴玉琴,王云,周丽娟.基于临床路径的护理模式在急性缺血性脑卒中静脉溶栓患者中的应用[J].齐鲁护理杂志,2021,27(07):114-116.
[14] 许彬,徐娟兰,杨阳,等.国内家庭护理对脑卒中患者健康状况影响的 meta 分析[J].中国康复医学杂志,2016,31(10):1124-1128.
[15] 赵冰,吴冰,杨爽,等.专科护士为主导的延续性护理干预在脑卒中溶栓患者中的应用[J].沈阳医学院学报,2021,23(06):586-590.DOI:10.16753/j.cnki.1008-2344.2021.06.018.
[16] 唐珊,李俐,郝彬,等.延续性护理模式在急性缺血性脑卒中静脉溶栓病人中的应用效果研究[J].护理研究,2020,34(06):1074-1077.
[17] 王红萍,庄怡青,陈孝萍.急性缺血性脑卒中溶栓患者延续性护理方案的建立及其应用效果[J].解放军护理杂志,2016,33(12):66-68.