规范化一体化急救模式在脑卒中院外急救中应用及对患者预后的影响  

Application of integrated first aid model in pre-hospital first aid of stroke and its effect on prognosis of patients

作　　者：谢萍[1] 罗双萍[1] 陈欢[1] XIE Ping;LUO Shuangping;CHEN Huan(Science and Education of Wuhan Emergency Center,Wuhan 430000,Hubei China)

机构地区：[1]武汉市急救中心,湖北武汉430000

出　　处：《中国急救复苏与灾害医学杂志》2020年第4期395-397,401,共4页China Journal of Emergency Resuscitation and Disaster Medicine

基　　金：湖北省自然科学基金(编号:2016CFB684)。

摘　　要：目的探讨一体化急救模式在脑卒中院外急救中应用及对患者预后的影响。方法以2016年11月一2018年9月武汉市急救中心收治的128例脑卒中患者为研究对象。其中2017年11月一2018年9月武汉市急救中心收治的接受院外一体化急救模式64例脑卒中患者纳为试验组。另择规范制度实施前,2016年11月一2017年11月武汉市急救中心收治的64例脑卒中患者作为对照组。回顾性对比两组患者的预后、急救相关指标、接诊医生及患者满意度。结果观察组从呼救到接受院外急救时间、从呼救至入院接受专业救护时间、出车速度、建立静脉通路时间均低于对照组(P<0.05)。观察组初步诊断准确率、无后遗症率、轻度残疾率、重度残疾率、患者对院外急救满意度、接诊医生对院外急救满意度分别为93.75%、17.19%、60.94%J 5.63%、98.44%、96.88%,对照组分别为79.69%、4.69%、42.19%、35.94%、85.94%、82.81%,组间比较具有统计学差异(P<0.05)。结论一体化急救模式在脑卒中院外急救中应用效果较好,可改善患者预后,提高急救速度及医护满意度,具有临床推广价值。Objective To explore the application of integrated first aid model in pre-hospital first aid of stroke and its effect on prognosis of patients.Methods A total of 128 stroke patients admitted to our hospital between November 2016 and September 2018 were randomly divided into the experimental group(64 cases)and the control group(64 cases).The control group received routine emergency care,while the experimental group received integrated first aid model.The prognosis,indicators related to emergency treatment,doctor reception and patient satisfaction were compared between the two groups.Results The time from calling for help to receiving pre-hospital emergency care,time from calling for help to receiving professional aid,speed of leaving the vehicle and time of establishing venous access in the observation group were all lower than those in the control group(P<0.05).The rates of preliminary diagnostic accuracy,no sequela,mild disability,severe disability,patients,satisfaction with emergency care and doctorsf satisfaction with emergency care were 93.75%,17.19%,60.94%,15.63%,98.44% and 96.88% in the observation group,and 79.69%,4.69%,42.19%,35.94%,85.94% and 82.81%in the control group,respectively,with statistically significant differences between the groups(P<O.O5).Conclusion The integrated first-aid model has a good application effect in pre-hospital first-aid of cerebral apoplexy,which can improve the prognosis of patients,improve the speed of first-aid and improve the satisfaction of medical care.

关 键 词：一体化急救模式 脑卒中 院外急救 预后 急救时间 

分 类 号：R45[医药卫生—治疗学]