优化院内卒中应急流程在急性缺血性卒中患者溶栓治疗中的应用效果

Application effects of optimized in-hospital stroke emergency process in thrombolytic therapy for patients with acute ischemic stroke

目的:观察优化院内卒中应急流程在急性缺血性卒中患者溶栓治疗中的应用效果。方法:选取2019年7月至2020年9月该院收治的40例急性缺血性卒中患者为对照组(采用常规卒中应急流程),选取2021年1—10月该院收治的40例急性缺血性卒中患者为观察组(采用优化院内卒中应急流程)进行回顾性分析。比较两组实施溶栓时间、溶栓前后美国国立卫生研究院卒中量表(NIHSS)评分和护理满意度。结果:观察组医生到达时间、医生评估时间、评估结束转移至CT室时间、CT检查时间、CT结束至开始溶栓时间等均短于对照组,差异有统计学意义(P<0.05);溶栓后1、24 h、出院时,两组NIHSS评分均低于溶栓前,且观察组低于对照组,差异有统计学意义(P<0.05);观察组护理满意度高于对照组,差异有统计学意义(P<0.05)。结论:优化院内卒中应急流程应用于急性缺血性卒中患者溶栓治疗可缩短实施溶栓时间,降低NIHSS评分,提高护理满意度,其效果优于常规卒中应急流程。

Objective:To observe application effects of optimized in-hospital stroke emergency process in thrombolytic therapy for patients with acute ischemic stroke.Methods:40 patients with acute ischemic stroke admitted to the hospital from July 2019 to September 2020 were selected as control group(using conventional stroke emergency process),and 40 patients with acute ischemic stroke admitted to the hospital from January to October 2021 were selected as observation group(using optimized in-hospital stroke emergency process).The thrombolysis time,the national institutes of health stroke scale(NIHSS)score,and the nursing satisfaction were compared between the two groups before and after thrombolysis.Results:The arrival time of doctors,the evaluation time of doctors,the time from the end of evaluation to CT,the time of CT examination,the time from the end of CT to the beginning of thrombolysis in the observation group were shorter than those in the control group,and the differences were statistically significant(P<0.05).1 and 24 h after thrombolysis and at discharge,the NIHSS scores of the two groups were lower than those before thrombolysis,those of the observation group were lower than those of the control group,and the differences were statistically significant(P<0.05).Further,the nursing satisfaction of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusions:Optimized in-hospital stroke emergency process for thrombolytic therapy in the patients with acute ischemic stroke can shorten the thrombolysis time,reduce the NIHSS score and improve the nursing satisfaction.Moreover,it is superior to conventional stroke emergency process.