优化急诊护理流程对急性缺血性脑卒中rt-PA静脉溶栓救治率的影响  

The Effect of Optimizing Emergency Nursing Process on the Rate of rt-PA Intravenous Thrombolytic Therapy for Acute Ischemic Stroke

作　　者：彭庆荣[1] PENG Qingrong(Emergency Department, The First People＇s Hospital of Lianyungang City, Lianyungang Jiangsu 222002, Chin)

机构地区：[1]江苏省连云港市第一人民医院急诊科,江苏连云港222002

出　　处：《中国继续医学教育》2017年第35期143-144,共2页China Continuing Medical Education

摘　　要：目的探讨优化急诊护理流程对急性缺血性脑卒中患者rt-PA静脉溶栓救治率的影响。方法选取我院2016年1—12月急诊科接诊的急性缺血性脑卒中患者60例作为对照组,选取2017年1—11月同类患者60例作为观察组。对照组接受传统卒中救治及常规急诊护理配合,观察组在对照组基础上实施脑卒中救治流程管理及优化急诊护理流程下的护理配合。分析TCRF记录,对比两组患者DNT控制及rt-PA静脉溶栓救治率及两组患者护理流程各步骤占用的平均时间。结果观察组患者平均DNT时间明显低于对照组(P<0.05);观察组患者溶栓后症状改善情况(NIHSS)明显优于对照组(P<0.05);观察组死亡率及出血率明显低于对照组(P<0.05);两组患者护理流程各步骤占用的平均时间比较差异有统计学意义(P<0.05)。结论急性缺血性脑卒中救治流程管理中,优化急诊流程护理能显著缩短患者DNT时间,提高接受rt-PA静脉溶栓救治成功率。Objective To explore the effect of optimizing emergency nursing process on the rate of rt-PA intravenous thrombolytic treatment in patients with acute ischemic stroke. Methods 60 cases of acute ischemic stroke in the emergency department of our hospital from January to December 2016 were selected as the control group. From January to November 2017, 60 patients were selected as the observation group. The control group was given traditional stroke treatment and routine emergency nursing care. On the basis of the control group, the observation group implemented the management of the stroke treatment process and the optimization of the nursing cooperation under the emergency nursing process. The TCRF records were analyzed to compare the DNT control of the two groups and the rate of rt-PA intravenous thrombolytic treatment and the average time taken by each step of the two groups of nursing procedures. Results The average DNT time of the patients in the observation group was signifcantly lower than that of the control group （P 〈 0.05）. The symptom improvement （NIHSS） of the patients in the observation group was significantly higher than that in the control group （P 〈 0.05）. The mortality and bleeding rate of the observation group were significantly lower than that of the control group （P 〈 0.05）. The average time of each step occupied by the two groups of patients was statistically signifcant （P 〈 0.05）. Conclusion In the process management of acute ischemic stroke, the optimization of emergency process nursing can signifcantly shorten the time of DNT and increase the success rate of rt-PA thrombolysis.

关 键 词：优化流程 急性缺血性脑卒中 RT-PA静脉溶栓 

分 类 号：R473[医药卫生—护理学]