急诊快捷护理流程应用于急性脑卒中的效果分析

Application of Emergency Care Process on the Acute Stroke

目的:探讨急诊快捷护理流程对急性脑卒中的临床效果,为改善患者预后提供有效措施。方法:回顾性分析2007年6月-2011年6月我院收治的319例急性脑卒中患者的临床资料,按照其就诊时期分为对照组(n=166)及观察组(n=153),对比两组患者的急诊效果。结果:观察组接诊至确诊时间、确诊至接受专科治疗时间均显著低于对照组(P<0.05),两组抢救费用无明显统计学差异(P>0.05);观察组致残19例,病死7例,致残、致死率分别为12.4%及4.6%,对照组致残35例,病死13例,致残、致死率分别为21.1%及7.8%,观察组致残、致死率均低于对照组(P<0.05);观察组共出现30例并发症,并发症率19.6%,对照组出现55例并发症,并发症率33.1%,观察组并发症率明显低于对照组(P<0.05)。结论:急诊快捷护理流程可有效缩短急诊各环节消耗的时间,使患者得到最准确、最及时的干预、治疗,能够有效保证其治疗效果,从而保证其预后,提高急救效率,值得临床广泛推广。

Objective： To explore the application of emergency care process for the acute stroke in order to provide interventions to improve the prognosis of patients. Methods： A retrospective analysis was carried out which included 319 cases with acute stroke who were treated in our hospital from June 2007 to June 2011. The clinical data of patients were selected and divided into control group （n=166） and observation group （n=153） in accordance with its treatment period, then the treatment indexes were observed and compared. Results： The time from admissions to diagnosis and diagnosed to receive specialist treatment in the observation group were significantly lower than those of the control group, and there was statistically significant difference between two groups （P〈0.05）. There was no sig- nificant difference in rescue costs between two groups （P〉0.05）. In the observation group, 19 cases represented disability and seven cases died, the death rates were 12.4% and 4.6% respectively, while 35 cases showed disability and 13 cases died and the rates were 21.1% and 7.8% respectively in the control group （P〈0.05）. The incidence of the observation group were 30 cases with the rate of 19.6%, while the incidence of complications were 55 cases in the control group with the rate of 33.1%. There was statistically significant difference be- ween two groups （P〈0.05）. Conclusions： Emergency quick emergency care process is worthy of wider promotion that can effectively shorten the time consumed by all sectors, so that patients could receive the most accurate and timely intervention and effectively ensure its therapeutic effect, thus to ensure its prognosis and improve aid efficiency.