急诊急救模式在急性脑梗死患者中的应用效果
The Application Effect of Emergency Rescue Mode in Patients with Acute Cerebral Infarction
林美玉1
作者信息
- 1. 361101 福建厦门,厦门市第五医院急诊科
- 折叠
摘要
目的 探讨急性脑梗死患者治疗中急诊急救模式的应用效果.方法 回顾性选取急性脑梗死患者100例,依据治疗方法分为急诊急救模式组和常规急诊治疗组,每组各50例.结果 急诊急救模式组患者的急诊急救成功率高于常规急诊治疗组,从入院到急救医师接诊,时间短于常规急诊治疗组;从入院到开具CT报告,时间短于常规急诊治疗组;从入院到静脉溶栓,时间短于常规急诊治疗组;从入院到动脉成功置鞘,时间短于常规急诊治疗组;从置鞘到血管再通,时间短于常规急诊治疗组.美国国立卫生研究院卒中量表(National Institute of Health Stroke Scale,NIHSS)评分、改良爱丁堡-斯堪的纳维亚评分(Improved Edinburgh Scandinavian Score,CSS)评分均低于常规急诊治疗组,简易精神状态检查量表(Mini Mental Status Examination,MMSE)评分、改良Barthel指数量表(Modified Barthel Index,MBI)评分均高于常规急诊治疗组,差异均具有统计学意义(P＜0.05).急诊急救模式组患者的力气、手功能、交流、记忆与思维、参与、情绪、移动能力、日常生活能力评分均高于常规急诊治疗组(P＜0.05),并发症发生率低于常规急诊治疗组(P＜0.05).结论 急性脑梗死患者在救护中,急诊急救模式的应用效果优于常规急诊救护.
Abstract
Objective To explore the application effect of emergency mode in the emergency treatment of acute cerebral infarction patients.Methods 100 patients with acute cerebral infarction were retrospectively selected and divided into emergency mode group and routine emergency treatment group according to treatment methods,50 cases in each group.Results In the emergency mode group,the success rate of emergency treatment was higher than that in the conventional emergency treatment group,the time between admission and emergency physician was shorter than that in the conventional emergency treatment group,the time between admission and CT report was shorter than that in the conventional emergency treatment group,the time between admission and intravenous thrombolysis was shorter than that in the conventional emergency treatment group,the time between admission and arterial sheath was shorter than that in the conventional emergency treatment group,the time of sheath-vessel recanalization was shorter than that of the conventional emergency treatment group,the NIHSS score and CSS score were lower than that of the conventional emergency treatment group,and the MMSE score and MBI score were higher than that of the conventional emergency treatment group,with statistical significance(P＜0.05).The scores of strength,hand function,communication,memory and thinking,participation,emotion,mobility and daily living ability in emergency mode group were higher than those in conventional emergency treatment group(P＜0.05),The incidence of complications of the emergency mode group was lower than that of routine emergency treatment group(P＜0.05).Conclusion The application effect of emergency mode in the rescue of acute cerebral infarction patients is better than that of conventional emergency rescue.
关键词
急性处理/急救/手术后并发症Key words
emergency treatment/firstaid/postopera-tive complications引用本文复制引用
出版年
2024
国家科技期刊平台
NSTL
万方数据