急性脑梗塞静脉溶栓治疗患者行综合护理干预的临床疗效研究

Clinical Efficacy Study of Comprehensive Nursing Intervention in Patients with Acute Cerebral Infarction Treated with Intravenous Thrombolysis

摘要: 目的：分析急性脑梗死患者接受静脉溶栓时实施综合护理措施的效果。方法：研究对象为2025年1月至2026年3月期间在我院神经内科接受静脉溶栓的急性脑梗死患者，共48例，按随机数字表法分为常规组(24例，常规护理)和研究组(24例，常规组基础上实施综合护理)，进行对比分析。结果：研究组在神经功能、生活能力及运动功能恢复方面均显著优于常规组(均P < 0.05)；与常规组相比，研究组在护理满意度的各个方面得分均明显较优(P < 0.05)；研究组不良反应总发生率为4.17% (1/24)，显著低于常规组的29.17% (7/24) (χ² = 5.400, P = 0.020)。结论：针对急性脑梗塞静脉溶栓治疗患者实施综合护理干预，可有效促进患者神经功能、生活能力与运动功能恢复，显著降低不良反应发生率，同时提升患者护理满意度，该护理模式具备较高的临床推广应用价值。

Abstract: Objective: To analyze the effect of implementing comprehensive nursing measures during intravenous thrombolysis in patients with acute cerebral infarction. Method: The study subjects were 48 patients with acute cerebral infarction who received intravenous thrombolysis in the neurology department of our hospital from January 2025 to March 2026. They were randomly divided into a conventional group (24 cases, receiving routine nursing) and a study group (24 cases, receiving comprehensive nursing on the basis of the conventional group) using a random number table method for comparative analysis. Result: The study group showed significant improvement in neurological function, life ability, and motor function recovery compared to the conventional group (all P < 0.05); compared with the conventional group, the study group scored significantly better in all aspects of nursing satisfaction (P < 0.05); the total incidence of adverse reactions in the study group was 4.17% (1/24), significantly lower than the 29.17% (7/24) in the conventional group (χ² = 5.400, P = 0.020). Conclusion: Comprehensive nursing intervention for patients undergoing intravenous thrombolysis for acute cerebral infarction can effectively promote the recovery of neurological function, life ability, and motor function, significantly reduce the incidence of adverse reactions, and improve patient satisfaction with nursing care. This nursing model has high clinical promotion and application value.