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目的观察针对性治疗老年高血压并发腔隙性脑梗死对患者神经功能及生活质量的影响。方法选取115例老年高血压并发腔隙性脑梗死患者进行头部CT和MRI检查,确诊后对所有患者进行及时的针对性治疗,包括降压治疗、降糖治疗、降脂治疗、改善脑循环治疗等。对比患者治疗前后神经功能缺损评分和Barthel评分。结果治疗后,患者的神经功能缺损评分均低于治疗前,Barthel评分高于治疗前,差异均具有统计学意义(P<0.05)。结论针对性治疗可有效改善患者的神经功能及生活能力,能促进患者的恢复,值得推广应用。
Objective To observe the effect of targeted therapy on senile hypertension and lacunar infarction on the neurological function and quality of life of patients. Methods One hundred and fifteen elderly hypertensive patients with lacunar infarction were selected for head CT and MRI examinations. All the patients were treated with timely and targeted therapy, including antihypertensive therapy, hypoglycemic therapy, lipid-lowering therapy and cerebral circulation improvement Treatment and so on. The patients’ neurological deficit scores and Barthel scores before and after treatment were compared. Results After treatment, the score of neurological deficit in patients was lower than that before treatment. The Barthel score was higher than that before treatment, and the difference was statistically significant (P <0.05). Conclusion Targeted treatment can effectively improve the patient’s neurological function and life ability, can promote the recovery of patients, it is worth promoting the application.