急诊一体化溶栓护理模式对急诊脑梗死患者急救效率、神经功能及短期预后的影响

Effect of emergency integrated thrombolysis nursing model on emergency efficiency, neurological functionand short-term prognosis of patients with emergency cerebral infarction

目的分析急诊一体化溶栓护理模式对急诊脑梗死患者急救效率、神经功能及短期预后的影响。方法选取2021年1月—2022年1月医院接治的322例急诊脑梗死患者为本次研究对象,按照组间基本特征具有可比性的原则分为对照组与观察组,每组161例,对照组患者实施常规急诊救治护理干预,观察组患者在常规急诊救治护理基础上实施急诊一体化溶栓模式护理,对比两组患者急救效率、神经功能及短期预后状况。结果干预后,观察组患者分诊评估时间、检查时间、等待报告时间、急诊救治时间短于对照组,组间比较差异有统计学意义(P<0.05)。观察组患者神经生长因子(NGF)和神经营养因子(NTF)值均较对照组高,美国国立卫生研究院卒中量表(NIHSS)评分较对照组低,组间比较差异有统计学意义(P<0.05);观察组患者挂号至溶栓用药时间(DNT)≤60 min达标率、24 h症状性颅内出血转化率、90 d预后良好率均较对照组高,不良反应总发生率较对照组低,组间比较差异有统计学意义(P<0.05)。结论急诊一体化溶栓模式护理能够有效提高急诊脑梗死患者急救效率,改善神经功能与短期预后,利于患者身体康复。

Objective To analyze the effect of emergency integrated thrombolysis nursing model on emergency efficiency,neurological function and short-term prognosis of patients with emergency cerebral infarction.Methods A total of 322 patients with emergency cerebral infarction admitted to the hospital from January 2021 to January 2022 were selected as the study subjects.They were divided into a control group and an observation group,with 161 cases in each group,based on the principle of comparability of basic characteristics between groups.The control group implemented routine emergency treatment nursing interventions,while the observation group implemented emergency integrated thrombolysis nursing model on the basis of the routine emergency treatment nursing.The differences in emergency efficiency,neurological function,and short-term prognosis were compared between the two groups of patients.Results After the intervention,the triage assessment time,examination time,waiting time for report,and emergency treatment time of patients in the observation group were shorter than those in the control group,and the differences between the groups were statistically significant(P<0.05).The nerve growth factor(NGF)and neurotrophic factors(NTF)values of patients in the observation group were higher than those in the control group,the National Institutes of Health Stroke Scale(NIHSS)score was lower than that in the control group,and the differences between the groups were statistically significant(P<0.05).The compliance rate for door-to-needle time(DNT)≤60 min,the transformation rate of symptomatic intracranial hemorrhage at 24 h,and the 90-day good prognosis rate were higher in the observation group compared to the control group,the total incidence of adverse reactions was lower than that in the control group,and the differences between the groups were statistically significant(P<0.05).Conclusion The emergency integrated thrombolysis nursing can effectively improve the efficiency of emergency treatment for patients with cerebral infarction,improve neurological function and short-term prognosis,and facilitate the physical recovery of patients.