摘要
目的 探讨院内一体化急救护理模式对急性脑梗死患者救治效果的影响。方法 本院于2015年1月开始实施院内一体 化急救护理模式,选取2015年1月-12月期间本院收治的67例急性脑梗死患者作为观察组;并且选取2014年1月-12月 期间本院收治的67例急性脑梗死患者作为对照组。对照组入院治疗采取常规的急救护理流程,观察组则采用院内一 体化急救护理模式。比较两组患者溶栓等待时间、神经功能缺损(ESS)评分、日常生活能力(Bather指数)及临 床疗效。结果 急救护理干预前两组ESS、Bather评分比较,差异无统计学差异(P>0.05);干预后观察组溶栓等 待时间、ESS及Bather评分均优于对照组,差异有统计学意义(P<0.05);观察组的治疗总有效率高于对照组,差 异有统计学意义(P<0.05)。结论 院内一体化急救护理模式的实施规范了急性脑梗死患者急救流程,救治疗效确 切,缩短了救治时间,利于改善患者神经功能及日常生活能力,临床应用及推广价值较高。
Objective To study the effect of integrated emergency nursing mode on the treatment of patients with acute cerebral infarction. Methods Our hospital began to implement integrated emergency nursing mode from January 2015. 67 patients in 2015 as observation group were treated with integrated emergency nursing mode. 67 patients in 2014 as control group were treated with routine emergency nursing. The thrombolytic waiting time, neurological deficit score(ESS), daily living ability (Bather index) and clinical efficacy were compared. Results There was no significant difference in ESS and Bather scores of the two groups before intervention (P>0.05). The thrombolytic time, ESS and Bather scores of the observation group were better than those of the control group. The difference was statistically significant (P<0.05). The total effective rate of the observation group was higher than that of the control group. It was statistically significant(P<0.05). Conclusion The implementation of integrated emergency nursing mode makes the emergency procedure of acute cerebral infarction more standardized. It can be used and popularized in clinic because of treatment efficacy, shorten treatment time, improving neurological function and daily life ability.
【关键词】院内一体化急救护理模式;急性脑梗死;临床效果
【中图分类号】R651.1
【文献标识码】A
【DOI】10.3969/j.issn.1009-3257.2017.02.002
前言
急性脑梗死已成为致残率、致死率极高的临床常 见疾病,严重威胁患者的生命健康[1]。目前临床对于 急性脑梗死主要进行早期静脉溶栓治疗,目的在于恢 复患者脑组织血液供应、减轻患者神经功能的损伤, 但由于急性脑梗死病症特性,急救对时间要求甚高, 若患者发病时间过长则会导致错失最佳治疗时机,致 使患者只能采取药物进行保守治疗,缺血区脑组织灌 注无法恢复[2]。因此,临床建立院内一体化急救流程 对患者的抢救极为重要,可有效缩短患者急救流程, 增加了患者抢救时机,提高患者神经功能恢复、降低病死率[3]。鉴于此,本研究将探讨院内一体化急救护 理模式对急性脑梗死患者救治效果的影响。具体信息 如下。
罕少疾病杂志
第24卷, 第 2 期
2019年11月
相关文章