标准化急救联合绿色通道在老年急性脑出血患者中的应用分析及其对急救质量的影响

Application of Standardized First Aid Combined with Green Channel in the Elderly with Acute Cerebral Hemorrhage and Its Effect on First-aid Quality

目的探讨标准化急救联合绿色通道在老年急性脑出血患者中的应用效果及其对急救质量的影响,为提高老年急性脑出血急救效率和质量提供参考。方法选取120例老年急性脑出血患者为研究对象,根据急救方式的不同分为观察组(=58)和对照组(=62)。观察组给予标准化急救联合绿色通道的流程,对照组给予常规急救流程。评估并比较2组的接诊到确诊时间、确诊到治疗时间、急救措施实施时间、术前准备时间、急救前后NIHSS评分、GCS评分、以及手术并发症发生等情况。结果观察组接诊到确诊时间、确诊到治疗时间、急救措施实施时间和术前准备时间均显著低于对照组(<0.05);治疗前2组的NIHSS评分和GCS评分差异无统计学意义(>0.05),治疗后2组的NIHSS评分下降,而GCS评分升高,且观察组的下降程度和升高程度均显著高于对照组(<0.05);观察组的手术并发症发生率显著低于对照组(3.45%19.35%,<0.05)。结论标准化急救联合绿色通道能显著提高老年急性脑出血患者的急救质量,缩短急救时间,有利于患者的预后恢复,具有一定的临床应用价值。

Objective To investigate the effect of standardized first-aid combined with green channel in the treatment of the elderly with acute cerebral hemorrhage and on the quality of first aid. Methods 120 elderly with acute cerebral hemorrhage were enrolled and divided, according to the different emergency methods, into 2 groups： observation group（ =58） and control group（ =62）; standardized first aid combined with green channel was performed in observation group while routine first aid in control group; a comparative study was made in the time of diagnosis, the time of first aid treatment, the time of preoperative preparation, the NIHSS score and the GCS score before and after the first aid and the incidence of complications between the 2 groups. Results The time of consultation, the time of diagnosis, the time of emergency treatment and the time of preoperative preparation in observation group were significantly shorter than those in control group（ 0.05）; before treatment,there was no significant difference in NIHSS scores and GCS scores between the 2 groups; after treatment, the NIHSS scores in both group declined while the the GCS scores increased, and the decline and the increase in observation group were significantly greater than those in control group（ 0.05）; Statistical significance, 0.05; the incidence of surgical complications in observation group was 3.45%, much lower than that in control group（19.35%）, the difference was of statistical significance（ 0.05）. Conclusions Standardized first aid combined with green channel can significantly improve the quality of first aid in the elderly with acute cerebral hemorrhage and shorten the time of first aid, which is beneficial for the prognosis; it is worthy of clinical application.