医护一体化护理在急性脑梗死患者中的应用效果  

Application effect of integrated medical and nursing nursing in patients with acute cerebral infarction

作　　者：胡静 徐燕 胡春毅[3] HU Jing;XU Yan;HU Chun-yi(Department of Neurology,the First People′s Hospital of Fuzhou City,Jiangxi Province,Fuzhou344000,China;Department of Endocrinology,the First People′s Hospital of Fuzhou City,Jiangxi Province,Fuzhou344000,China;Department of Medical Oncology,the First People′s Hospital of Fuzhou City,JiangxiProvince,Fuzhou344000,China)

机构地区：[1]江西省抚州市第一人民医院神经内科,江西抚州344000 [2]江西省抚州市第一人民医院内分泌科,江西抚州344000 [3]江西省抚州市第一人民医院肿瘤内科,江西抚州344000

出　　处：《中国当代医药》2020年第11期219-221,共3页China Modern Medicine

基　　金：江西省抚州市社会发展指导性科技计划项目(抚科计字[2018]20号24项)。

摘　　要：目的探讨医护一体化护理在急性脑梗死(ACI)患者中的应用效果。方法选取2018年2月~2019年2月我院收治的86例ACI患者作为研究对象,按照随机数字表法将其分为观察组和对照组,每组各43例。对照组进行常规护理,观察组实施医护一体化护理。比较两组的神经功能缺损(NIHSS)评分、临床效果、住院时间及溶栓的准备时间。结果观察组护理后NIHSS评分低于对照组,差异有统计学意义(P<0.05)。观察组总有效率为88.4%,高于对照组的51.2%,差异有统计学意义(P<0.05)。观察组溶栓准备时间为(3.2±1.4)h、住院时间为(8.3±2.5)d,短于对照组的(5.7±1.8)h、(14.1±1.9)d,差异均有统计学意义(P<0.05)。结论医护一体化护理措施应用于ACI患者能显著降低患者的NIHSS评分,有更为显著的临床效果,同时还有利于缩短溶栓治疗准备时间和住院时间,可积极应用于临床。Objective To explore the application effect of integrated medical and nursing care in patients with acute cerebral infarction(ACI). Methods A total of 86 patients with ACI admitted to our hospital from February 2018 to February 2019 were selected as the study subjects. According to the random number table method, the patients were divided into observation group and control group, 43 cases in each group. The control group received routine nursing,while the observation group received integrated medical and nursing. The neurological deficit score(NIHSS), clinical effect, hospitalization time and preparation time for thrombolysis were compared between the two groups. Results The NIHSS score of the observation group was lower than that of the control group, and the difference was statistically significant(P<0.05). The total effective rate was 88.4% in the observation group, which was higher than 51.2% in the control group, and the difference was statistically significant(P<0.05). The preparation time for thrombolysis in the observation group was(3.2±1.4) h and the hospitalization time was(8.3±2.5) d, which were shorter than those in the control group, of(5.7±1.8) h,(14.1±1.9) d, and the differences were statistically significant(P<0.05). Conclusion The application of integrated medical and nursing in patients with ACI reduce the NIHSS score of patients with more significant clinical efficacy, but also conducive to shorten the preparation time and hospitalization time for thrombolytic therapy,which can be actively applied in clinical practice.

关 键 词：医护一体化 超早期 脑梗死 溶栓治疗 神经功能缺损 

分 类 号：R473[医药卫生—护理学]