【摘要】 目的 對腦梗死患者施行靜脈溶栓治療前后的相關狀況和指標進行評價分析。 方法 2003年1月-2010年11月對神經內科收治的29例腦梗死患者予以靜脈溶栓治療及護理，并就治療前后各相關時間點血壓監測及美國國立衛生研究院卒中量表（National Institute of Health stroke scale，NIHSS）評分情況進行分析。 結果 溶栓前后血壓對比顯示:溶栓后2 h收縮壓相對于溶栓前和溶栓后24 h升高（Plt;0.05）；溶栓前后NIHSS評分差異有統計學意義（Plt;0.05）。 結論 溶栓后患者收縮壓出現升高，護理上應該加強血壓監控，為臨床治療提供支持。【Abstract】 Objective To investigate the correlated condition and clinical index changes before and after the intravenous thrombolysis of the cerebral infarction patients. Methods The blood pressure and the National Institutes of Health stroke scale (NIHSS) score of 29 cerebral infarction patients with the intravenous thrombolysis treatment between January 2003 and November 2010 were measured and analyzed. Results Two hours after the thrombolysis, the systolic blood pressure significantly increased compared with those before the intravenous thrombolysis and 24 hours after intravenous thrombolysis （P＜0.05）. NIHSS score was significantly decreased after the thrombolysis （P＜0.05）. Conclusions Systolic blood pressure significantly increases after the intravenous thrombolysis. Intensive blood pressure monitoring and controlling may be beneficial to the treatment and prognosis.