结构化的院外干预对急性缺血性卒中救治效果的影响  

Effect of structured pre-hospital intervention on the treatment of acute ischemic stroke

作　　者：郭章宝[1] 柳新胜[2] 梅俊华[1] 周冰凌[1] 陈国华[1] 魏力 GUO Zhangbao;LIU Xinsheng;MEI Junhua;ZHOU Bingling;CHEN Guohua;WEI Li(Department of Neurology,Wuhan No.1 Hospital,Wuhan Hubei 430022,China)

机构地区：[1]武汉市第一医院神经内科,湖北武汉430022 [2]武汉市急救中心,湖北武汉430022

出　　处：《中国急救复苏与灾害医学杂志》2020年第9期1050-1052,共3页China Journal of Emergency Resuscitation and Disaster Medicine

基　　金：湖北省武汉市卫计委院前急救交接中有关法律问题探讨(编号:WG14C1)。

摘　　要：目的分析结构化的院外干预对急性缺血性卒中救治效果的影响.方法回顾性分析武汉市第一医院通过卒中绿色通道收治的发病6~24 h以内的小动脉闭塞急性缺血性卒中患者的临床资料,共246例,按是否进行结构化的院外干预分为干预组(n=68)及对照组(n=178).分析两组患者的临床资料和临床结局.结果与对照组比较,干预组院内急救时间[(42.03±12.87)min vs.(61.81±15.88)min,P<0.001]、出院时美国国立卫生研究院卒中量表(NIHSS)评分[(4.59±3.54)分vs(5.89±3.23)分,P=0.006]和住院天数[(7.07±2.72)vs(8.34±3.66)d,P=0.010]明显降低.干预组的满意度(98.5%vs.89.9%,P=0.045)和临床有效率(79.4%vs 65.2%,P=0.031)显著优于对照组.结论结构化的院外干预能够有效改善急性缺血性脑卒中患者疗效,提高患者就诊满意度.Objective To analyze the ffect of structured pre-hospital intervention(including rapid identification and re-sponse、tight cohesion,ete,)on the treatment of acute ischemic stroke.Mephods Retrospective analysis of elinical data of 246 patients with acute ischemic stroke who underwent arteriolar oeclusion within 6 to 24 hours admitted through the green channel of stroke in our hospital,divided into intervention group(n=68)and control group(n=178)according to whether or not structured pre-hospital intervention.Clinical data and elinical outcomes of the two groups were tested by 1 test and x test.Results A total of 246 patients meeting the standard were ineluded,including 68 patients in the in-tervention group and 178 patients in the control group,Hospital emergency time of the intervention group[(42.03±12.87)min vs.(61.81±15.88)min,P<0.001].NIHSS score at discharge[(4.59±3.54)points vs.(5.89±3.23)points,P=0.006]and hospital stay days[(7.07±2.72)vs.(8.34±3.66)days,P=0.010]were signifcantly less than the control group.Intervention group satisfaction(98.5%vs.89.9%,P=0.045)and elinical efcacy(79.4%vs.65.2%,P=0.031)were sig-nificantly better than the control group.Conclusion Structured pre-hospital intervention can effectively improve the ef-ficacy of patients with acute ischemic stroke and improve their satisfaction with treatment.

关 键 词：急性缺血性脑卒中 结构化院外干预 临床疗效 

分 类 号：R743.3[医药卫生—神经病学与精神病学]