急诊医护团队主导急性缺血性脑卒中患者静脉溶栓的救治效果评价  

Evaluation of therapeutic effect of intravenous thrombolysis in patients with acute ischemic stroke led by emergency medical team

作　　者：李霞[1] 金伦 季学丽[1] 张丽[1] 黄夕华[1] LI Xia;JIN Lun;JI Xueli;ZHANG Li;HUANG Xihua(Emergency Department of the First Affiliated Hospital of Nanjing Medical University,Nanjing Jiangsu 210029,China)

机构地区：[1]南京医科大学第一附属医院急诊科,江苏南京210029

出　　处：《中国急救复苏与灾害医学杂志》2023年第10期1331-1334,共4页China Journal of Emergency Resuscitation and Disaster Medicine

基　　金：江苏省医学创新团队项目(编号:CXTDA2017007)。

摘　　要：目的 探讨急诊医护团队主导急性缺血性脑卒中(AIS)患者静脉溶栓的救治效果。方法 选取2019年8月—2022年7月在南京医科大学第一附属医院急诊就诊接受静脉溶栓的急性缺血性脑卒中患者200例作为研究对象。按照其是否由急诊医护团队主导静脉溶栓救治,分为常规急性缺血性脑卒中静脉溶栓救治100例,归为对照组;急诊医护团队主导静脉溶栓救治100例,归为观察组。比较两组AIS患者入院至静脉通路建立时间、家属溶栓决策时间、入院至开始静脉溶栓(DNT)时间、溶栓后48 h美国国立卫生研究院卒中量表(NIHSS)评分、溶栓后2周NIHSS评分、患者满意度。结果 观察组AIS患者入院至静脉通路建立时间、家属溶栓决策时间、DNT时间、溶栓后48 h NIHSS评分、溶栓后2周NIHSS评分均短于对照组,观察组患者满意度高于对照组,两组比较差异均有统计学意义(P<0.05)。结论 急诊医护团队主导AIS患者静脉溶栓救治,可促进患者及家属进行溶栓决策,缩短DNT时间,改善患者预后,提高患者的就诊满意度。Objective To investigate the therapeutic effect of intravenous thrombolysis in patients with acute ischemic stroke(AIS)led by emergency medical team.Methods A total of 200 patients with acute ischemic stroke who received intravenous thrombolysis in the emergency department of the First Affiliated Hospital of Nanjing Medical University from August 2019 to July 2022 were selected as the subjects of this study.According to whether the patients were treated with intravenous thrombolysis led by the emergency medical team,they were divided into routine intravenous thrombolysis treatment of acute ischemic stroke 100 cases,which were classified as the control group.The emergency medical team led the treatment of intravenous thrombolysis in 100 cases,which were classified as observation group.The time from admission to establishment of venous access,decision time of family members,the door-to-needle time(DNT),National Institutes of Health Stroke Scale(NIHSS)score 48 hours after thrombolysis,NIHSS score 2 weeks after thrombolysis,and patient satisfaction were compared between the two groups of AIS patients.Results The AIS patients in the observation group were shorter than those in the control group in terms of the time from admission to establishment of venous access,decision time of family thrombolysis,DNT time from admission to start of intravenous thrombolysis(DNT),48 hours NIHSS score after thrombolysis and NIHSS score 2 weeks after thrombolysis,and the satisfaction of patients in the observation group was higher than that in the control group,with statistical significance between the two groups(P<0.05).Conclusion The intravenous thrombolysis treatment of AIS patients led by the emergency medical care team,which can promote the thrombolysis decision of patients and their families,shorten DNT time,improve the prognosis of patients and improve the satisfaction of patients,and is worth promoting.

关 键 词：急性缺血性脑卒中 急诊医护团队 静脉溶栓 效果评价 

分 类 号：R473.74[医药卫生—护理学]