首页|院前急救流程改良模式在急性脑梗死患者中的应用

院前急救流程改良模式在急性脑梗死患者中的应用

Application of improved pre-hospital emergency procedures in patients with acute cerebral infarction

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目的 探讨急性脑梗死患者中应用改良模式的院前急救流程的干预效果.方法 纳入上海市第十人民医院急诊科 2021 年 5 月至 2022 年 4 月收治的急性脑梗死患者 80 例为研究对象,随机分为对照组和观察组,每组40 例.对照组实施常规式急性脑梗死院前急救,观察组采用改良模式的院前急救流程进行干预,比较 2 组的干预效果.结果 2 组干预后的美国国立卫生研究院卒中量表(NIHSS)评分低于干预前,Barthel指数评分高于干预前,且观察组NIHSS评分低于对照组,Barthel指数评分高于对照组(P<0.05).观察组院前急救时间、院内分诊时间、转运时间和发病至手术时间均短于对照组(P<0.05).观察组抢救有效率高于对照组(P<0.05).观察组预后效果优于对照组(P<0.05).观察组院前急救满意度评分高于对照组(P<0.05).结论 急性脑梗死患者中应用改良模式的院前急救流程进行干预,能有效改善患者的神经功能,缩短院前急救时间,提高患者生活质量、抢救效果、预后效果和院前急救满意度.
Objective To explore the intervention effect of improved pre-hospital emergency procedures in patients with acute cerebral infarction(ACI).Methods From May 2021 to April 2022,eighty ACI patients admitted to Department of Emergency,Shanghai Tenth People's Hospital were randomly assigned to the control group(n=40)and the observation group(n=40),in which they received conventional pre-hospital emergency and improved model of pre-hospital emergency procedures,respectively.The intervention effects of the two groups were compared.Results After intervention,significantly decreased National Institutes of Health Stroke Scale(NIHSS)score,and significantly increased Barthel Index(BI)score were detected in the two groups(all P<0.05),and the observation group was superior to the control group for NIHSS and BI scores(all P<0.05).Time of prehospital care provided by emergency medical services(EMS),waiting for triage,transfer time and time from onset to surgery in the observation group were all significantly shorter than those of the control group(P<0.05).The rescue effectiveness of the observation group was significantly higher than that of the control group(P<0.05).The prognostic outcome of the observation group was better than that of the control group(P<0.05).The satisfaction score of prehospital care provided by EMS was significantly higher in the observation group than that of the control group(P<0.05).Conclusion For ACI patients,improved model of pre-hospital emergency procedures can effectively improve neurological function,shorten pre-hospital time,and improve quality of life,rescue efficiency,and prognostic effect,especially of increasing pre-hospital emergency satisfaction.

pre-hospital emergency proceduresacute cerebral infarctionimproved modelneurological functionprognostic effect

施筠、钱小难

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200072 上海市第十人民医院急诊科

院前急救流程 急性脑梗死 改良模式 神经功能 预后效果

2024

河北医药
河北省医学情报研究所

河北医药

CSTPCD
影响因子:1.075
ISSN:1002-7386
年,卷(期):2024.46(11)
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