Prognostic Factors in Patients with Acute Cerebral Infarction Undergoing Intravenous Thrombolytic Bridging Artery Thrombectomy

Abstract

To study the prognostic factors and preventive nursing of patients with acute cerebral infarction treated with intravenous thrombolytic bridging artery thrombectomy is the objective of the study. From January 2017 to December 2019, 80 patients with acute cerebral infarction in the Department of Neurology of our hospital were selected, all of whom were treated with intravenous thrombolytic bridging arterial thrombectomy, using stroke unit, establishing a green channel, combining with the evaluation of the prognosis of patients, analyzing the related risk factors affecting the prognosis and guiding the clinical prevention and nursing countermeasures, improve the prognosis of the operation. The National institutes of health stroke scale score decreased gradually from before treatment to 1 h, 2 h, 3 h, 4 h, 5 h, 6 h, 24 h, 7 d and 14 d after treatment. In terms of prognosis, the total effective rate was 93.75 %. The total incidence of adverse reactions and complications were 5.00 %. Multivariate analysis showed that age, National institutes of health stroke scale classification before thrombolysis, blood glucose before thrombolysis, Oxfordshire community stroke project classification and 24 h improvement after thrombolysis were independent predictors of prognosis (p<0.05). In patients with acute cerebral infarction undergoing intravenous thrombolytic bridging artery thrombectomy, stroke unit and emergency department should be seamlessly docked and postoperative neurological intensive care should be strengthened. It can collect the relevant risk factors affecting the prognosis of surgery, analyze the relationship between risk factors and the prognosis of surgery, and propose preventive nursing measures to reduce postoperative complications and improve the prognosis.