关键词: 急性脑梗死, 溶栓, 康复护理, 生活质量

Abstract: Objective: To explore the effect of staged nursing on the rehabilitation of patients with acute cerebral infarction after thrombolysis. Methods: 85 patients with acute cerebral infarction and thrombolytic therapy were divided into observation group (43 cases) and control group (42 cases), according to the order of admission. Two groups of patients were given super early(6h) thrombolysis after admission. The control group was given routine nursing. On the basis of the observation group, staged rehabilitation nursing was carried out after stable condition. The clinical effect, rehabilitation effect, cerebrovascular events and quality of life were compared between the two groups. Results: The clinical efficacy of the observation group was better than that of the control group；The NIHSS score of the observation group was lower than that of the control group, and the Barthel score was higher than that of the control group(P<0.05).The incidence of cerebrovascular events in the observation group was lower than that in the control group after 3 months of follow-up (P<0.05). After 3 months of rehabilitation nursing, the quality of life of the two groups were significantly improved. The scores of general health, physiological function, physiological function, emotional function, social function, vitality and energy of the observation group were higher than those of the control group (P<0.05). Conclusion: Staged rehabilitation nursing is helpful to alleviate the neurological deficit, reduce the incidence of cerebrovascular events and improve the quality of life of patients with acute cerebral infarction treated by thrombolytic therapy.

Key words: Acute cerebral infarction, Thrombolysis, Rehabilitation nursing, Quality of life