急诊护理路径对中西医结合治疗脑梗死患者预后的影响  

Emergency Nursing for Integrative Medicine Prognosis of Patients with Cerebral Infarction

作　　者：毛云霞[1] 

机构地区：[1]江山市人民医院急诊科,浙江江山324100

出　　处：《辽宁中医杂志》2014年第5期1022-1024,共3页Liaoning Journal of Traditional Chinese Medicine

摘　　要：目的:探讨急诊护理路径对中西医结合治疗脑梗死患者预后影响。方法:选取2011年1月—2013年6月该院收治的128例急性脑梗死的患者,随机分为干预组和对照组,每组各64例,对照组采取传统方式护理。干预组采用急诊护理路径进行干预,所有患者均采用中西医结合的方法进行治疗,西医给予抗凝、溶栓、降颅压、营养支持等治疗,中医给予灯盏花素治疗,对比两组患者的接诊时间、临床疗效以及FCA综合功能评分情况。结果:干预组自接诊至确诊时间为(18.62±1.58)min,明显低于对照组的(31.35±1.69)min;自确诊至接受专业治疗时间为(23.75±2.49)min,相比于对照组的(38.91±3.44)min明显缩短;干预组和对照组的总有效率分别为95.32%、84.38%,干预组明显高于对照组;两组在治疗后1个月及3个月时的FCA综合功能评分相比于治疗前均不断提高,但干预组提高幅度更大。差异具有统计学意义(P<0.05)。结论:相比于传统的护理方法,采用急诊护理路径进行干预更能提高脑梗死患者中西医结合治疗的临床疗效,改善患者的预后。Objective ： To investigate the emergency nursing path for integrative medicine prognosis of patients with cerebral infarction. Methods ： From January 2011 to June 2013 in our hospital, 128 patients with acute cerebral infarction were randomly divided into intervention group and control group, 64 cases in each group. The traditional way was used in control group. Intervention group received emergency nursing paths intervention. All patients were treated with a combination of Chinese and Western methods and the treatments of anticoagulation, thrombolysis, reducing intracranial pressure and nutritional support, comparing the admissions time,the clinical efficacy and comprehensive function score FCA in two groups. Results：The intervention group＇s time from admissions to diagnosis time was （ 18.62 ± 1.58 ） min, significantly lower than that of the control group （31.35 ± 1.69） min; self - diagnosis to receive professional treatment time was （23.75 ± 2.49） min in intervention group, which was significantly shortened compared to that of the control group （38.91 ± 3.44）rain; the total effective rates of intervention group and the control group were 95.32% and 84.38% ;a month and three months after treatment,the FCA comprehensive function score in intervention group was increasing, and the intervention group increased even more sharply. The difference was statistically significant （ P 〈 0. 05 ）. Conclusion ： Compared to the traditional methods of nursing, the use of emergency nursing interventions can enhance the clinical efficacy of combination therapy in patients with cerebral infarction and improve patients＇ outcomes.

关 键 词：急诊护理路径 脑梗死 中西医结合治疗 预后 

分 类 号：R743[医药卫生—神经病学与精神病学]