医联体模式下院前急救联合急诊绿色通道在急性高血压脑出血患者临床救治中的应用效果

Application Effect of the Medical Combination Model of First Aid and Emergency Green Channel in the Clinical Treatment of Patients with Acute Hypertensive Cerebral Hemorrhage

目的:探讨急性高血压脑出血患者应用医联体模式下院前急救联合急诊绿色通道的临床救治效果.方法:选取2021年1月—2022年12月遵义市习水县人民医院收治的急性高血压脑出血患者66例作为研究对象,以随机数字表法分为对照组、观察组,各33例.对照组行常规急救,观察组行医联体模式下院前急救与急诊绿色通道联合救治.比较两组日常生活活动能力量表(ADL)评分、美国国立卫生院卒中量表(NIHSS)评分、发病至入院时间.结果:入院时,两组ADL、NIHSS评分比较,差异无统计学意义(P>0.05);出院时,两组ADL评分高于入院时,NIHSS评分低于入院时,差异有统计学意义(P<0.05),且观察组ADL评分高于对照组,NIHSS评分低于对照组,差异有统计学意义(P<0.05).观察组发病至入院时间短于对照组,差异有统计学意义(P<0.001).结论:医联体模式下院前急救联合急诊绿色通道的应用,可进一步改善急性高血压脑出血患者的神经功能,促进日常生活能力提高,值得临床推广.

Objective:To investigate the clinical treatment effect of the medical combination model of first aid and emergency green channel for acute hypertensive cerebral hemorrhage.Methods:Sixty-six patients with acute hypertensive cerebral hemorrhage admitted to Zunyi Xishui County People's Hospital from January 2021 to December 2022 were selected as the study objects,and were divided into control group and observation group by random number table method,with thirty-three cases in each group.The control group received routine first aid,and the observation group received medical combination model of first aid and emergency green channel.The score of activity of daily living scale(ADL),the score of national institutes of health stroke scale(NIHSS)and the time from onset to hospital admission were compared between the two groups.Results:At admission,there was no significant difference in ADL and NIHSS scores between the two groups(P>0.05);at discharge,ADL score of the two groups was higher than that at admission,and NIHSS score were lower than that at admission,with statistical significance(P<0.05),ADL score of the observation group was higher than that of the control group,and NIHSS score was lower than that of the control group,with statistical significance(P<0.05).The time from onset to admission in the observation group was shorter than that in the control group,and the difference was statistically significant(P<0.001).Conclusion:The application of medical combination model of first aid and emergency green channel can further improve the neurological function of patients with acute hypertensive cerebral hemorrhage,and promote the improvement of daily living ability,which is worthy of clinical promotion.