护理路径管理对支架取栓治疗急性缺血性脑卒中患者的应用  

Application of Nursing Path Management in Acute Ischemic Stroke Patients with Stent Thrombectomy

作　　者：杜凤莲[1] 谢莲花[1] 黄发飞 吴晓娟 黄小娥 DU Fenglian;XIE Lianhua;HUANG Fafei;WU Xiaojuan;HUANG Xiao’e(Zhanjiang Central People’s Hospital,Zhanjiang 524045,China)

机构地区：[1]广东省湛江中心人民医院,广东湛江524045

出　　处：《中国医学创新》2020年第27期96-99,共4页Medical Innovation of China

基　　金：广东省湛江市科技局课题(2017A01025)。

摘　　要：目的:探讨护理路径管理对支架取栓治疗急性缺血性脑卒中患者的干预效果。方法:选取本院2017年12月-2019年6月收治的急性缺血性脑卒中患者90例,根据住院先后顺序分为对照组和观察组,各45例。两组均进行支架取栓治疗,对照组给予常规护理,观察组在对照组基础上给予护理路径管理。比较两组神经功能、血管再通情况、生活质量、残疾程度及意识障碍情况。结果:治疗后1、3、21 d,观察组美国国卫院脑卒中评估表(national institute of health stroke scale,NIHSS)评分均低于对照组(P<0.05)。两组血管再通率比较,差异无统计学意义(P>0.05)。干预后,观察组健康调查简表(the MOS item short from health survey,SF-36)各维度评分均高于对照组(P<0.05)。干预后3个月,观察组改良Rankin量表(modified Rankin scale,mRS)评分低于对照组(P<0.05)。干预后3个月,观察组格拉斯哥昏迷评分(GCS)高于对照组(P<0.05)。结论:护理路径管理有利于支架取栓治疗急性缺血性脑卒中患者的神经功能恢复,提升生活质量,改善预后,干预效果良好,值得临床上进一步推广应用。Objective:To investigate the intervention effect of nursing path management in acute ischemic stroke patients with stent thrombectomy.Method:A total of 90 patients with acute ischemic stroke admitted to our hospital from December 2017 to June 2019 were selected.They were divided into control group and observation group according to the order of hospitalization,45 cases in each group.Both groups were treated with stent thrombectomy,the control group was given routine nursing,and the observation group was given nursing path management on the basis of the control group.Neurological function,vascular recanalization,quality of life,degree of disability and cognitive impairment were compared between the two groups.Result:At 1,3 and 21 d after treatment,the national institute of health stroke scale (NIHSS) scores of the observation group were lower than those of the control group (P<0.05).There was no significant difference in the vascular recanalization rate between the two groups (P>0.05).After intervention,all dimensions scores of the MOS item short from health survey (SF-36) in the observation group were higher than those in the control group (P<0.05).3 months after intervention,the score of modified Rankin scale (mRS) in the observation group was lower than that in the control group (P<0.05).3 months after intervention,Glasgow coma score (GCS) in the observation group was higher than that in the control group (P<0.05).Conclusion:Nursing path management is conducive to the recovery of neurological function,improvement of quality of life,improvement of prognosis and intervention effect in patients with acute ischemic stroke treated by stent thrombectomy,which is worthy of further promotion and application in clinical practice.

关 键 词：护理路径管理 支架取栓 急性缺血性脑卒中 

分 类 号：R473.74[医药卫生—护理学]