时间节点为导向结合院内快速急救模式在急性脑梗死溶栓治疗中的应用

Application of Time Node Oriented and Hospital Rapid First Aid Mode in Thrombolytic Treatment of Acute Cerebral Infarction

目的:探讨时间节点为导向结合院内快速急救模式在急性脑梗死(ACI)溶栓治疗患者中的应用效果。方法:选取2020年8月—2022年8月于荆州市第三人民医院行溶栓治疗的ACI患者共计90例,以随机数字表法分成干预组(n=45)和对照组(n=45),对照组给予常规急救护理干预,干预组给予时间节点为导向结合院内快速急救模式干预,比较两组急救成功率、急救时间、神经功能、运动功能及日常生活能力。结果:干预组急救成功率(97.78%)较对照组(82.22%)高,差异有统计学意义(P<0.05)。干预组CT检查完成时间、溶栓前等待时间、入院至静脉溶栓时间、入院至动脉置鞘时间、动脉置鞘至血管再通时间均较对照组短,差异均有统计学意义(P<0.05)。两组出院时美国国立卫生研究院卒中量表(NIHSS)评分均较入院时下降,且干预组较对照组低,差异均有统计学意义(P<0.05)。两组出院时上肢、下肢功能评分均较入院时升高,且干预组均较对照组高,差异均有统计学意义(P<0.05)。两组出院时日常生活能力量表(ADL)评分均较入院时升高,且干预组较对照组高,差异均有统计学意义(P<0.05)。结论:ACI溶栓治疗患者应用时间节点为导向结合院内快速急救模式干预,能够促进急救成功率提高,缩短急救时间,改善神经功能、运动功能及日常生活能力。

Objective:To explore the effect of time node oriented and hospital rapid first aid mode for thrombolytic therapy in patients with acute cerebral infarction(ACI).Method:A total of 90 patients with ACI who were underwent thrombolysis treatment in the Third People's Hospital of Jingzhou from August 2020 to August 2022 were selected,patients were divided into intervention group(n=45)and control group(n=45)by random number table method.The control group was given routine emergency nursing intervention,and the intervention group was given time node oriented intervention combined with rapid first aid mode in the hospital.The first aid success rate,first aid time,nerve function,motor function and daily living ability were compared between the two groups.Result:The success rate of first aid in intervention group(97.78%)was higher than that in control group(82.22%),the difference was statistically significant(P<0.05).The completion time of CT examination,the waiting time before thrombolysis,the time from admission to intravenous thrombolysis,the time from admission to arterial sheath,and the time from arterial sheath to vascular recanalization in the intervention group were shorter than those in the control group,the differences were statistically significant(P<0.05).The scores of the national institutes of health stroke scale(NIHSS)at discharge of both groups were lower than those at admission,and the intervention group was lower than that of the control group,the differences were statistically significant(P<0.05).The upper limb and lower limb function scores of both groups were higher at discharge than those at admission,and the intervention group were higher than those of the control group,the differences were statistically significant(P<0.05).The scores of ADL in both groups were higher at discharge than those at admission,and the intervention group was higher than that in the control group,the differences were statistically significant(P<0.05).Conclusion:The application of time node oriented and rapid first aid mode in the hospital for thrombolysis treatment of ACI patients can promote the improvement of emergency success rate,shorten emergency time,improve neurological function,motor function,and daily living ability.