优化急诊绿色通道护理管理对脑卒中患者临床救治的应用价值

The Application Value of Optimizing Emergency Green Channel Nursing Management in Clinical Treatment of Stroke Patients

目的分析在脑卒中患者的急诊救治中,优化急诊绿色通道护理管理的应用方式与临床效果。方法将宿迁市第一人民医院急诊科2022年12月至2023年12月期间收治的120例脑卒中患者列为观察对象,按照临床干预方式进行分组。其中60例接受常规急诊绿色通道护理,设为对照组。其余60例均接受优化急诊绿色通道护理管理,设为观察组。统计两组患者就诊至静脉溶栓时间,分别在治疗前和治疗后评估两组神经功能缺损程度(NIHSS)评分与昏迷程度(GCS)评分。结果对照组平均就诊至静脉溶栓时间长于观察组(P<0.05)。治疗前组间比较平均NIHSS评分差异无统计学意义(P>0.05);在完成急诊救治后,两组评分均表现出明显的下降,且观察组下降更多,治疗后评分明显低于对照组(P<0.05)。治疗前组间比较平均GCS评分差异无统计学意义(P>0.05);急诊救治后,两组GCS评分与本组救治前比较均明显提升,且观察组提升更为明显,治疗后评分明显高于对照组(P<0.05)。结论脑卒中患者的临床救治中,开展优化急诊绿色通道护理管理可以获得良好的临床效果。

Objective To analyze the application methods and clinical effects of optimizing emergency green channel nursing management in the emergency treatment of stroke patients.Methods 120 stroke patients admitted to the emergency department of Suqian First People's Hospital from December 2022 to December 2023 were included as observation subjects and grouped according to clinical intervention methods.Among them,60 cases received routine emergency green channel care and were set as the control group.The remaining 60 cases received optimized emergency green channel nursing management and were assigned to the observation group.We count the time from diagnosis to intravenous thrombolysis for enrolled patients,and evaluate the degree of neurological deficits(NIHSS)and coma severity(GCS)scores before and after treatment in both groups.Results The average time from treatment to intravenous thrombolysis in the control group was longer than that in the observation group(P<0.05).The average NIHSS score between groups before treatment was P>0.05.After completing emergency treatment,both groups showed a significant decrease in scores,and the observation group had a relatively larger decrease.The post-treatment score of the observation group was significantly lower than that of the control group,with P<0.05.The average GCS score between groups before treatment was P>0.05.After emergency treatment,both groups showed a significant improvement in GCS scores compared to that before treatment,and the observation group showed a more significant improvement.The post-treatment score of the observation group was significantly higher than that of the control group,with P<0.05.Conclusion In the clinical treatment of stroke patients,optimizing emergency green channel nursing management can achieve good clinical results.