院前与院内急救一体化联合卒中中心模式应用于急性脑梗死患者急诊急救中的效果研究

Study on the Effect of Integrated Pre-hospital and In-hospital First Aid Combined with Stroke Center Model Applied to Acute Cerebral Infarction Patients

目的探讨对急性脑梗死患者在给予急诊急救期间采用院前与院内急救一体化急救联合卒中中心模式的应用效果。方法选取2022年1月至2023年12月无锡市惠山区人民医院收治的111例急性脑梗死患者作为研究对象,采用抛币法将患者分为对照组与研究组。对照组55例:采用常规急救模式展开对应干预;研究组56例:采用院前与院内急救一体化联合卒中中心模式展开对应干预。对比两组患者的治疗总有效率、抢救成功率、抢救时间、并发症总发生率。结果与对照组治疗总有效率比较,研究组急性脑梗死患者获得的疗效更好(P<0.05);与对照组抢救成功率比较,研究组急性脑梗死患者抢救成功率更高(P<0.05);与对照组入院—开具CT报告时间、入院—急救医师接诊时间、入院—动脉成功置鞘时间、入院—静脉溶栓时间以及置鞘—血管再通时间比较,研究组急性脑梗死患者时间均更短(P<0.05);与对照组并发症总发生率比较,研究组急性脑梗死患者发生率更低(P<0.05)。结论急性脑梗死患者在接受急诊急救期间,院前与院内急救一体化联合卒中中心模式的有效应用,可将急诊急救患者的疗效以及抢救成功率显著提升,将抢救时间各指标显著缩短,并且安全性明显。

Objective To investigate the application effect of an integrated pre-hospital and in-hospital emergency rescue combined with the stroke center model for patients with acute cerebral infarction during emergency treatment.Methods 111 patients with acute cerebral infarction treated in our hospital from January 2022 to December 2023 were selected as study subjects.All cerebral infarction patients were grouped according to coin toss method.The control group(55 cases):conventional emergency mode was used to carry out corresponding intervention;The study group(56 cases):Pre-hospital and in-hospital emergency rescue+the stroke center model was used to carry out corresponding intervention;The total effective rate,rescue success rate,rescue time,and total incidence of complications were compared between the two groups.Results Compared with the control group,the total effective rate was better in the study group(P<0.05).Compared with the control group,the success rate of rescue was higher in the study group(P<0.05).Compared with the control group,the admission-CT report time,admission-emergency physician reception time,admission-artery implantation time,admission-venous thrombolysis time,and sheath-vascular recanalization time were shorter in the study group(P<0.05).Compared with the control group,the incidence of acute cerebral infarction was lower in the study group(P<0.05).Conclusion During the emergency treatment of patients with acute cerebral infarction,the effective application of integrated pre-hospital and in-hospital emergency rescue plus stroke center model can significantly improve the efficacy and rescue success rate of emergency patients,significantly shorten the indexes of rescue time,a nd have obvious safety.