急救护理流程再造对脑梗死超急性期静脉溶栓疗效的影响

Effect of Intravenous Thrombolysis in Hyperacute Stage of Cerebral Infarction by Reengineering Emergency Nursing Procedure

目的探析急救护理流程再造对脑梗死超急性期静脉溶栓疗效的影响。方法选取我院于2017年6月至2017年12月收治的71例超急性期脑梗死患者作为对照组,选取2018年1月至2018年9月收治的55例超急性期脑梗死患者作为观察组。对比两组患者的入院至溶栓时间(DNT)及临床疗效。结果观察组患者DNT显著短于对照组,差异有统计学意义(P<0.05);观察组患者的临床治疗总有效率显著高于对照组,差异有统计学意义(P<0.05);两组患者治疗后的美国国立卫生院卒中量表(NIHSS)、改良Rankin量表(mRS)评分均较治疗前显著改善,且观察组患者治疗后的NIHSS、mRS评分均显著低于对照组,差异有统计学意义(P<0.05)。结论急救护理流程再造可有效提高脑梗死超急性期患者的溶栓疗效,促进患者神经功能恢复,改善患者的预后,提高患者生活质量。

Objective To explore the effect of emergency nursing process reengineering on the efficacy of intravenous thrombolysis in hyperacute stage of cerebral infarction.Methods From June 2017 to December 2017,71 patients with hyperacute cerebral infarction in this period were randomly selected as the control group,and from January 2018 to September 2018 as the reconstruction process,55 patients with hyperacute cerebral infarction in this period were randomly selected as the observation group.The DNT and clinical efficacy were statistically compared between the two groups.Results The duration of DNT in the observation group was significantly shorter than that in the control group,the difference was statistically significant(P<0.05).The clinical efficacy of the observation group was significantly higher than that of the control group,the difference was statistically significant(P<0.05).After treatment,the National Institutes of Health Stroke Scale(NIHSS)and modified Rankin Scale(mRS)scores of the two groups of patients were significantly improved compared to before treatment,and the NIHSS and mRS scores of the observation group after treatment were significantly lower than those of the control group,the difference was statistically significant(P<0.05).Conclusion Emergency nursing process reengineering can effectively improve the efficacy of thrombolysis in patients with hyperacute cerebral infarction,promote the recovery of neurological function,improve the prognosis of patients,and improve the quality of life of patients.