目的：研究分析脑梗塞患者溶栓后出现早期颅内出血（ICH）的影响因素及预后措施。方法选取我院2014年2月———2016年2月收治的部分脑梗塞患者共78例，所有患者均采用重组组织型纤维蛋白溶酶原激活剂（rt －PA）静脉溶栓治疗。将选取的78例患者分为对照组和观察组，每组各39例，观察组患者溶栓后未发生 ICH，对照组患者溶栓后发生 ICH，对溶栓后相关影响因素进行分析，并对患者进行三个月的随访，评定其生活质量。结果观察组溶栓后 ICH 的可疑影响因素显著低于对照组（P ＜0．05），差异具有统计学意义；观察组生活质量评定明显高于对照组，差异显著（P ＜0．05），具有统计学意义。结论脑梗塞患者溶栓后出现早期 ICH 与患有其他疾病、脑梗塞病情严重程度和溶栓药物的应用等因素有关，发生 ICH 患者生活质量较差，临床中应注意对这些影响因素的控制。%Objective To study the influencing factors and prognosis of early cerebral hemorrhage(ICH)in patients with cerebral infarction after thrombolysis.Methods select our hospital Selection of the 78 patients were divided into control group and observation group,each with 39 cases in each,after thrombolysis related factors analysis,and three months of fol ow -up of pa-tients,to assess the quality of life.Results Observation of thrombolytic therapy group after ICH suspicious factors was significantly lower than that of control group(P <0.05),the dif erence has statistical significance.Conclusion after thrombolysis in patients with cerebral infarction appeared in the early stage of ICH and suf ering from other diseases,cerebral infarction severity and thrombolytic drugs application factors and occurrence of ICH patients with poor quality of life and clinical should pay at ention to the control of these factors.
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