优化院前急救流程联合MLAPSS筛查在急性缺血性脑卒中患者救治中的作用及对预后的影响分析

Effects of optimizing pre-hospital emergency procedures and MLAPSS in patients with acute ischemic stroke and its influence on prognosis

目的探讨急性缺血性脑卒中患者实施优化院前急救流程联合应用改良洛杉矶院前卒中筛查量表(MLAPSS)对救治情况及预后的影响。方法84例急性缺血性脑卒中患者,依据随机数字表法分为观察组与对照组,各42例。对照组实施常规院前急救流程,观察组实施优化院前急救流程联合应用MLAPSS干预。对比两组救治情况、神经功能缺损程度及预后情况。结果观察组院前救治时间(30.28±3.14)min、院内救治时间(60.44±5.12)min、入住科室时间(104.21±10.26)min均明显短于对照组的(38.92±4.23)、(66.09±6.45)、(115.58±12.13)min,差异有统计学意义(P<0.05)。干预后,两组美国国立卫生研究院卒中量表(NIHSS)评分均低于本组干预前,且观察组NIHSS评分(15.31±3.35)分低于对照组的(19.42±3.87)分,差异均有统计学意义(P<0.05)。观察组并发症发生率23.81%及死亡率2.38%明显低于对照组的50.00%、16.67%,痊愈率85.71%高于对照组的61.90%,差异均有统计学意义(P<0.05)。结论急性缺血性脑卒中患者实施优化院前急救流程联合应用MLAPSS干预,能够明显缩短救治时间,改善患者预后情况,减轻患者神经功能缺损程度,值得推广。

Objective To discuss the effects of optimizing pre-hospital emergency procedures and applying modified Los Angeles pre-hospital stroke screen(MLAPSS)scale on the treatment and prognosis of patients with acute ischemic stroke.Methods A total of 84 patients with acute ischemic stroke were divided into observation group and control group according to the random numerical table,with 42 cases in each group.The control group received conventional pre-hospital emergency procedures,while the observation group received optimized pre-hospital emergency procedures combined with MLAPSS intervention.The treatment conditions,the degree of neurological deficit and the prognosis were compared between the two groups.Results The prehospital treatment time(30.28±3.14)min,in-hospital treatment time(60.44±5.12)min,and hospital admission time(104.21±10.26)min in the observation group were significantly shorter than(38.92±4.23),(66.09±6.45),and(115.58±12.13)min in the control group,and the differences were statistically significant(P<0.05).After the intervention,the National Institutes of Health stroke scale(NIHSS)scores in the two groups were lower than those before the intervention in this group,and the NIHSS score(15.31±3.35)points in the observation group was lower than(19.42±3.87)points in the control group.All the differences were statistically significant(P<0.05).The complication rate 23.81%and the mortality rate 2.38%in the observation group were significantly lower than 50.00%and 16.67%in the control group,and the recovery rate 85.71%was higher than 61.90%in the control group.All the differences were statistically significant(P<0.05).Conclusion Optimizing pre-hospital emergency procedures and applying MLAPSS intervention in patients with acute ischemic stroke can shorten the treatment time and improve the prognosis of patients,and reduce the degree of neurological deficit in patients,which is worthy of promotion.