阿司匹林及低分子肝素联合连续性协同护理模式治疗短暂性脑缺血发作100例疗效观察

摘要

目的：观察连续性协同护理模式联合阿司匹林及低分子肝素治疗短暂性脑缺血发作的疗效。方法选取2012年8月至2014年12月行阿司匹林联合低分子肝素治疗短暂性脑缺血发作的患者200例，采用随机数字表法将患者分成两组，研究组患者100例，采用连续性协同护理模式联合阿司匹林及低分子肝素治疗；对照组患者100例，采用常规护理方法联合阿司匹林及低分子肝素治疗。结果两组患者护理前后各项凝血指标差异无统计学意义（ P﹥0.05)；研究组患者焦虑自评量表（SAS）、抑郁自评量表（SDS）以及知觉压力自评量表（CPSS )评分明显低于对照组（ P﹤0.05)，SAS，SDS以及CPSS差值明显高于对照组（ P﹤0.05)。结论阿司匹林及低分子肝素联合连续性协同护理模式治疗短暂性脑缺血发作疗效明显，值得临床推广。%Objective To study the application effect of continuity of collaborative care model combined with aspirin and low molecular heparin therapy in treating patients with transient ischemic attack. Methods 200 cases of patients with transient ischemic attack from August 2012 to December 2014 treated by aspirin and low molecular heparin therapy were divided into two groups according to of ran-dom number table method, 100 patients per group. The study group used continuity collaborative nursing mode combined with aspirin and low molecular heparin therapy, and the control group used routine nursing care combined with aspirin and low molecular heparin.Results The blood coagulation indexes of the two groups before and after nursing had no statistically significant difference ( P ﹥ 0. 05 ) . The SAS, SDS, and CPSS scores of the study group were significantly lower than the control group ( P ﹤ 0. 05 );and the difference value of the SAS, SDS, and CPSS scores of the study group were significantly higher than the control group ( P ﹤ 0. 05 ) . Conclusion Aspirin and low molecular heparin therapy combined with continuity collaborative care model in treating patients with transient ischemic attack has obvious application effect, which is worthy of clinical promotion.