优化全程急诊护理应用于急性脑梗死患者中的效果研究

Study on the Effect of Optimizing Whole-course Emergency Care in Patients with Acute Cerebral Infarction

目的探讨优化全程急诊护理应用于急性脑梗死患者中的效果。方法选择2019年1—12月该院急诊科收治的112例急性脑梗死患者作为研究对象,按照随机数表法将上述患者随机分为两组,其中对照组与研究组各56例。对照组采取常规急诊护理,研究组则采取优化全程急诊护理措施。对比两组急救时间、就诊至溶栓治疗的时间、住院时间、急诊干预前后美国国立卫生研究院卒中量表(NIHSS)评分与日常生活能力评定量表(BI)评分,以及急救成功率。结果研究组急救时间(42.3±5.0)min、就诊至溶栓治疗时间(38.2±4.5)min与住院时间(8.2±2.5)d均低于对照组(65.3±5.5)min、(50.5±4.8)min、(11.3±3.0)d,差异有统计学意义(t=22.227、13.415、5.719,P<0.01)。干预后,研究组NIHSS评分(18.4±3.0)分低于对照组(21.8±2.5)分,差异有统计学意义(t=6.195,P<0.01),BI评分(55.2±6.6)分高于对照组(47.6±7.8)分,差异有统计学意义(t=5.356,P<0.01)。研究组急救成功率98.21%高于对照组85.71%,差异有统计学意义(χ^(2)=4.350,P<0.05)。结论优化全程急诊护理在急性脑梗死患者中具有显著的应用效果。

Objective To explore the effect of optimizing the entire emergency care for patients with acute cerebral infarction.Methods Selected 112 patients with acute cerebral infarction admitted to the emergency department of the hospital from January to December 2019 as the research objects.According to the random number table method,the above patients were randomly divided into two groups,of which the control group and the study group were 56 each.The control group took routine emergency care,and the study group took measures to optimize the entire emergency care.The first-aid time,the time from treatment to thrombolysis,the length of hospitalization,the National Institutes of Health Stroke Scale(NIHSS)score and the ability of daily living(BI)score before and after emergency intervention were compared between the two groups,as well as the first aid success rate.Results The first-aid time(42.3±5.0)min,the time from treatment to thrombolytic treatment(38.2±4.5)min and the hospitalization time(8.2±2.5)d in the study group were lower than those in the control group(65.3±5.5)min and(50.5±4.8)min,(11.3±3.0)d,the difference was statistically significant(t=22.227,13.415,5.719,P<0.01).After the intervention,the NIHSS score(18.4±3.0)points of the study group was lower than the control group(21.8±2.5)points,the difference was statistically significant(t=6.195,P<0.01),and the BI score(55.2±6.6)points was higher than the control group(47.6±7.8)points,the difference was statistically significant(t=5.356,P<0.01).The first aid success rate of the study group was 98.21%higher than that of the control group 85.71%,the difference was statistically significant(χ^(2)=4.350,P<0.05).Conclusion Optimizing whole-course emergency care has a significant application effect in patients with acute cerebral infarction.