院前急救与控制溶栓时间的急救护理在急性脑梗死中的应用

Application of Pre Hospital Emergency Care and Control of Thrombolysis Time in Emergency Nursing for Acute Cerebral Infarction

目的分析院前急救医疗服务(EMS)联合基于控制溶栓时间的急救护理在急性脑梗死(ACI)患者中的应用效果。方法回顾性分析2023年1月至2023年12月本院急诊科收治的60例ACI患者资料,根据EMS服务与基于控制溶栓时间的急救护理开展时间,将2023年1月至2023年6月的30例ACI患者作为对照组,将2023年7月至2023年12月的30例ACI患者作为研究组。对照组采取常规急救护理,研究组采取EMS服务与基于控制溶栓时间的急救护理。针对两组急救护理效率、干预前后美国国立卫生研究院卒中量表(NIHSS)与Barthel指数(BI)评分以及家属对于急诊护理的满意度进行评价。结果研究组院前派车时间、分诊时间、入院-接诊时间、入院-CT检查时间、入院-静脉溶栓时间均短于对照组(P<0.05)。干预后与对照组评分相比,研究组NIHSS评分更低(P<0.05),BI评分更高(P<0.05)。研究组家属的急诊护理满意度高于对照组(P<0.05)。结论EMS服务联合基于控制溶栓时间的急救护理可以有效提升ACI患者的急救护理工作效率,促进其神经功能与日常生活活动能力的恢复,且增强了家属的护理满意度。

Objective To analyze the effect of pre-hospital emergency medical service(EMS)combined with emergency nursing based on controlled thrombolytic time in patients with acute cerebral infarction(ACI).Methods From January 2023 to December 2023,a retrospective analysis was conducted on the data of 60 ACI patients admitted to the emergency department of our hospital during this period.30 ACI patients from January 2023 to June 2023 were selected as the control group,and 30 ACI patients from July 2023 to December 2023 were selected as the study group.The control group received routine emergency care,while the study group received EMS service and emergency care based on control of thrombolytic time.The efficiency of emergency care,the National Institutes of Health Stroke Scale(NIHSS)and Barthel Index(BI)scores before and after intervention,and the satisfaction of family members with emergency care were evaluated.Results The pre hospital dispatch time,triage time,admission reception time,admission CT examination time,and admission intravenous thrombolysis time of the study group were all shorter than those of the control group(P<0.05).Compared with the control group,the study group had a lower NIHSS score(P<0.05)and a higher BI score(P<0.05)after intervention.In the evaluation of emergency nursing satisfaction among the families of two groups of patients,the study group had a higher result compared to the control group(P<0.05).Conclusions EMS services combined with emergency care based on controlling thrombolysis time can effectively enhance the efficiency of emergency care for ACI patients,promote the recovery of neurological function and daily living activities,and improve family satisfaction.