脑卒中患者运用一体化急救护理效果及对急救时间影响分析

Analysis of the Effect of Integrated Emergency Care and Its Influence on the Emergency Time for Stroke Patients

目的分析和探讨脑卒中患者运用一体化急救护理及对急救时间影响。方法选择该院2017年1月—2018年7月脑卒中86例患者作为研究对象,并采用"动态随机分组法"分为对照组(n=43)和观察组(n=43),对照组患者采用常规急诊护理模式救治,观察组患者采用一体化急救护理救治,对比两组患者的急诊救治时间、48 h内抢救情况、并发症发生情况。结果观察组患者的就诊到达时间为(6.11±1.04)min,评估时间为(3.61±0.87)min、接诊时间为(5.44±1.24)min、急救时间为(23.11±1.33)min、转送时间为(18.48±1.11)min,各项时间均少于对照组,差异有统计学意义(t=11.160、8.130、7.750、28.420、19.640,P<0.05);48 h内抢救成功率为95.35%,高于对照组,差异有统计学意义(t=7.340,P=0.010);并发症发生率为9.30%,低于对照组,差异有统计学意义(t=4.910,P=0.030<0.05)。结论脑卒中患者一体化急救护理的效果显著,具有较高的应用价值和推广价值。

Objective To analyze and discuss the use of integrated emergency care for stroke patients and its impact on emergency time. Methods From January 2017 to July 2018 selected 86 cases patients in the hospital as the research object, and divided them into the control group(n =43) and the observation group(n =43) by using the "dynamic randomization method". Patients in the control group were treated with conventional emergency care, and the patients in the observation group were treated with integrated emergency care. The emergency treatment time, the rescue status within 48 h,and the occurrence of complications were compared between the two groups. Results The arrival time of patients in the observation group was(6.11±1.04) min, the evaluation time was(3.61±0.87) min, the reception time was(5.44±1.24) min, the emergency time was(23.11±1.33) min, and the transfer time was(18.48 ±1.11) min, each was shorter than the control group, the difference was statistically significant(t=11.160,8.130,7.750,28.420,19.640, P<0.050);the rescue success rate within 48 h was 95.35%, which was higher than the control group, the difference was statistically significant(t=7.340, P=0.010);the complication rate was 9.30%, which was lower than the control group, the difference was statistically significant(t=4.910, P=0.030<0.05). Conclusion The effect of integrated emergency care for stroke patients is significant, and it has high application value and promotion value.