不同院前急救方式对急性脑卒中患者临床效果分析

Analysis of clinical effects of different pre-hospital emergency methods on patients with acute stroke

目的探讨不同院前急救方式对急性脑卒中患者的临床效果。方法收集2019年1月~2021年1月院前救治的82例急性脑卒中患者,根据随机数字表将其分为两组,对照组41例予常规院前急救,观察组41例予以综合院前急救,对比两组急救时间、急救效果及神经功能与运动功能恢复情况。结果观察组呼救至院前急救时间、到院时间、候诊时间、到院至接受治疗的时间均比对照组短(P<0.001);观察组急救后的D-二聚体(D-D)、血清N端脑钠肽前体(NT-pro BNP)水平比对照组低,拉斯哥昏迷评定量表(GCS)、格拉斯哥预后(GOS)评分比对照组高(P<0.001);观察组急救后的美国国立卫生研究院卒中量表(NIHSS)评分比对照组低,简化Fugl-Meyer运动功能评分量表(FMA)评分比对照组高(P<0.001)。结论对急性脑卒中患者实施综合院前急救可有效缩短急救时间、提升急救效果,并且有助于促进其神经与运动功能恢复。

Objective To explore the clinical effects of different pre-hospital emergency methods on patients with acute stroke.Methods 82 acute stroke patients who admitted to our hospital from January 2019 to January 2021 were collected,and they were divided into two groups according to random number table.41 cases in control group were given routine pre-hospital first aid,and 41 cases in observation group were given comprehensive pre-hospital first aid.First aid time,first aid effects,and the recovery of nerve functions and motor functions were compared between the two groups.Results In the observation group,time from calling for help to pre-hospital first aid,time to hospital,waiting time,and time from arrival to treatment was shorter than that in the control group(P<0.001).In the observation group,the levels of D-dimer(D-D)and serum N-terminal pro-brain natriuretic peptide(NT-pro BNP)after first aid were lower than those of the control group,and scores of the Gasgow Coma Scale(GCS)and Glasgow Outcome Scale(GOS)after first aid were higher than those of the control group(P<0.001).The score of the National Institutes of Health Stroke Scale(NIHSS)after first aid in the observation group was lower than that in the control group,and the score of simplified Fugl-Meyer Motor Function Scale(FMA)was higher than that of the control group(P<0.001).Conclusion Comprehensive pre-hospital first aid for acute stroke can effectively shorten first aid time,improve first aid effect,and help to promote the recovery of the patient's nerve and motor function.