93例急性脑梗死患者抢救过程中的全程优化护理  

Whole-course optimized nursing in emergency treatment for 93 cases with acute cerebral infarction

作　　者：黄捷[1] 林丽飞[2] HUANG Jie LIN Lifei(Department of Rehabilitation Medicine Department of Neurology, Affiliated Hospital of Youjiang Medical University of Nationalities, Baise, Guangxi, 533000)

机构地区：[1]右江民族医学院附属医院康复医学科,广西百色533000 [2]右江民族医学院附属医院神经内科,广西百色533000

出　　处：《实用临床医药杂志》2017年第8期14-16,共3页Journal of Clinical Medicine in Practice

摘　　要：目的评估急诊全程优化护理在抢救急性脑梗死(ACI)患者中的应用效果。方法对93例ACI患者实施急诊全程优化护理,记录就诊至静脉溶栓的时间(DNT)及分诊时间,观察患者治疗前、治疗后及出院3个月后神经功能缺损程度和日常生活活动能力的变化。结果患者DNT时间均控制在60 min内,平均(51.84±6.21)min,分诊时间为(0.71±0.19)min。治疗后和出院3个月后,美国国立卫生研究院神经功能缺损量表(NIHSS)评分较治疗前明显降低,Barthel指数(BI)评分明显升高,差异均具有统计学意义(P<0.05)。结论对ACI患者实施急诊全程优化护理明确了抢救的时效性,利于神经功能的恢复和日常生活活动能力的改善。Objective To evaluate the application efficacy of the whole-course optimized nursing in emergency treatment of patients with acute cerebral infarction （ACI）. Methods A total of 93 patients with ACI received whole-course optimized nursing in emergency treatment, the time from diagnosis to intravenous thrombolysis （DNT） and triage time were recorded, and the changes of neurological function deficit severity and activities of daily living （ADL） before and after treatment and 3 months after discharge were observed. Results The DNT was all controlled within 60 min, with average of （51.84 ±6.21） min and triage time of （0.71±0.19） rain. After treatment and 3 months after discharge, National Institutes of Health Stroke Scale （NIHSS） score was markedly lower while Barthel index （BI） score was notably higher than treatment before, and differences were significant （P 〈 0.05 ）. Conclusion Application of whole-course optimized nursing is beneficial to the recovery of neurological function and the improvement of ADL in patients with ACI.

关 键 词：急性脑梗死 静脉溶栓 优化护理 神经功能 日常生活活动能力 

分 类 号：R472.2[医药卫生—急诊医学]