绿色通道改良急救流程对急性脑卒中患者救治效果的影响

Effect of the modified emergency treatment procedure-based green channel on the treatment outcome of acute stroke patients

目的 探讨绿色通道改良急救流程对急性脑卒中患者救治效果的影响,以期为临床治疗提供参考。方法 将2020年1—11月漯河市中心医院急诊科收治的86例急性脑卒中患者纳入对照组,2020年12月—2021年12月漯河市中心医院急诊科收治的86例急性脑卒中患者纳入观察组。对照组患者行急性脑卒中常规流程救治,观察组患者实施绿色通道改良急救流程。比较2组患者急诊救治时间、急救前后美国国立卫生研究院卒中量表(NIHSS)评分、救治效果。结果 观察组患者急救室停留时间、完善CT等检查时间、从确诊到专科入住时间均短于对照组,差异均有统计学意义(P<0.05)。急救前,2组患者NIHSS评分比较,差异无统计学意义(P>0.05)。急救后,2组患者NIHSS评分均低于急救前,且观察组低于对照组,差异均有统计学意义(P<0.05)。观察组患者无明显后遗症率、轻度功能障碍率高于对照组,而明显残疾率、死亡率均低于对照组,差异均有统计学意义(P<0.05)。结论 绿色通道改良急救流程可缩短急性脑卒中患者救治时间,降低明显残疾、死亡率,改善神经功能,值得临床推广应用。

Objective This paper aims to investigate the effect of the modified emergency treatment procedure-based green channel in patients with acute stroke to provide evidence for clinical treatment.Methods Eighty-six patients with acute stroke admitted to the Emergency Department of Luohe Central Hospital from January to November 2020 were included in the control group,and 86 patients with acute stroke admitted to the Emergency Department from December 2020 to December 2021 were included in the observation group.The patients in the control group received routine treatment for acute stroke;the patients in the observation group,the modified emergency treatment procedure-based green channel.The emergency treatment time,National Institutes of Health Stroke Scale(NIHSS)score before and after emergency treatment.Besides,treatment outcomes were compared between the two groups.Results The retention time in the emergency room,the examination time for perfecting CT,and the time from diagnosis to specialist admission in the observation group were significantly shorter than those in the control group(P<0.05).Before emergency treatment,there was no significant difference in NIHSS score between the two groups(P>0.05).The NIHSS score in both groups showed a significant decrease after emergency treatment,with the observation group lower than the control group(P<0.05).The rate of absence of apparent sequelae and mild dysfunction in the observation group was significantly higher than that in the control group,while the rate of apparent disability and mortality was significantly lower than those in the control group(P<0.05).Conclusion The modified emergency treatment procedure-based green channel can shorten the treatment time of patients with acute stroke,reduce apparent disability and mortality,and improve neurological function.These benefits hold promise for a wider application of this procedure clinically.