Research on the Clinical Application of Pre-hospital Emergency Services for Acute Stroke
何斌 1祁雅雯1
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作者信息
1. 212000 江苏镇江,镇江市急救中心
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摘要
目的 探索院前急救服务在急性脑卒中患者中的应用价值.方法 回顾性纳入2020年5月至2023年5月经镇江市急救中心接诊的110例急性脑卒中患者为研究对象,根据救治流程的不同,分为对照组与研究组,每组各55例,对照组为自行来院组,研究组为院前急救组.比较两组患者的救治时间,卒中量表(National Institutes of Health Stroke Scale,NIHSS)评分和格拉斯哥昏迷指数(Glasgow Coma Scale,GCS)评分.结果 观察组患者发病至就诊时间、入院至CT检查时间、发病至溶栓时间、入院至溶栓时间、CT检查至溶栓时间均显著短于对照组(P＜0.05).入院时,两组患者NIHSS评分和GCS评分均无显著差异(P＞0.05).出院时,两组患者NIHSS评分均显著下降(P＜0.001),与对照组相比,观察组NIHSS评分下降程度更明显(P＜0.001);两组患者GCS评分均显著升高(P＜0.001),与对照组相比,观察组GCS评分上升程度更明显(P＜0.001).结论 院前急救服务可显著缩短急性脑卒中患者的救治时间,有利于患者神经功能的恢复,改善患者预后.
Abstract
Objective To explore the application value of pre-hospital emergency services in patients with acute stroke.Methods 110 patients with acute stroke treated in Zhenjiang Emergency Center from May 2020.05 to May 2023.05 were retrospectively included.According to different treatment procedures,they were divided into the self-admission group(control group,n=55 cases)and the pre-hospital emergency group(study group,n=55 cases).The treatment time,NIHSS score,and GCS score of the two groups were compared.Results The time from onset to treatment,the time from admission to CT examination,the time from onset to thrombolysis,the time from admission to thrombolysis,and the time from CT examination to thrombolysis in the observation group were significantly shorter than those in the control group(P＜0.05).At admission,there were no significant differences in NIHSS score and GCS score between the two groups(P＞0.05).At discharge,NIHSS score of both groups decreased significantly(P＜0.001),and NIHSS score of the observation group decreased more significantly than that of the control group decreased(P＜0.001);GCS scores in both groups were significantly increased(P＜0.001),and GCS scores in the observation group increased more significantly than those in the control group increased(P＜0.001).Conclusion Pre-hospital emergency services can significantly shorten the treatment time of acute stroke patients,which is conducive to the recovery of neurological function and improve the prognosis of patients.
关键词
急救医疗服务/脑梗死/预后
Key words
emergency medical services/brain infarction/prognosis
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