思维导图模式下的急救管理在急性缺血性脑卒中静脉溶栓治疗中的效果

Effect of emergency management under mind mapping mode in intravenous thrombolytic therapy of acute ischemic stroke

目的探讨急性缺血性脑卒中患者静脉溶栓治疗期间采取思维导图模式下的急救管理对康复效果的影响。方法抽取2019年5月至2022年3月南通市第三人民医院收治的80例急性缺血性脑卒中患者为研究对象,按随机信封法分为2组,各40例。2组患者均采用静脉溶栓治疗,对照组采取常规管理,观察组开展思维导图模式下的急救管理。比较2组患者在入院时及出院前1 d的神经功能缺损程度、脑部微循环功能、救护用时及效果。结果出院前1 d,2组的美国国立卫生院卒中量表评分均比入院时更低,患侧颈总动脉收缩期峰值流速、舒张期末流速和平均血流速度均比入院时更快(P均<0.05);观察组均比对照组更优(P均<0.05)。观察组的护士预检分诊、医师接诊、静脉抽血、发病至接受溶栓治疗、血液检查和完成检查时间均比对照组更早,急诊滞留时间比对照组更短,在入院10 min内接受心电图检查率、40 min内接受静脉溶栓率和康复出院率均比对照组更高,功能障碍发生率比对照组更低(P均<0.05)。结论对急性缺血性脑卒中患者采取思维导图模式下的急救管理,对减轻患者神经功能缺损程度、改善脑部微循环功能、缩短各项抢救用时及提升救护效果均有积极意义。

Objective To investigate the effect of emergency management under mind mapping mode on the rehabilitation of patients undergoing intravenous thrombolytic therapy for acute ischemic stroke.Methods Eighty patients with acute ischemic stroke at the Third People’s Hospital of Nantong from May 2019 to March 2022 were recruited for the research.They were divided into two groups by random envelope method,with 40 patients in each group.Both groups were treated with intravenous thrombolytic therapy.The control group carried out routine management,and the observation group carried out emergency management under mind mapping mode.The degree of neurological deficits,cerebral microcirculation function,rescue time,and rescue effect were compared between the two groups at admission and 1 day before discharge.Results At 1 day before discharge,the scores of the National Institutes of Health Stroke Scale in both groups were lower than those at admission,and the peak systolic velocity,end-diastolic velocity,and mean blood flow velocity of the common carotid artery on the affected side were faster than those at admission(all P<0.05).The observation group was superior to the control group(all P<0.05).The observation group had shorter pre-examination and triage time,physician admission time,venous blood collection time,time from onset to thrombolytic therapy,blood examination time,time to examination completion,and emergency retention time than the control group.The electrocardiogram examination rate within 10 mins of admission,intravenous thrombolysis rate within 40 mins of admission,and the recovery and discharge rate were higher than those of the control group,and the dysfunction rate was lower than that of the control group(all P<0.05).Conclusion The emergency management under mind mapping mode for patients with acute ischemic stroke has positive significance in reducing the degree of neurological deficits,improving the cerebral microcirculation function,shortening the rescue time,and improving the rescue effect.