院前与院内急救一体化模式在急性脑梗死患者急诊急救中的应用效果  

Application effect of integrated model of pre-hospital and in-hospital first aid in emergency treatment or first aid of patients with acute cerebral infarction

作　　者：赵方敏 张慈华 于贺花 Zhao Fangmin;Zhang Cihua;Yu Hehua(Emergency Department,Zhoukou Dongxin Hospital,Zhoukou,Henan 466700,China)

机构地区：[1]周口东新医院急诊科,河南周口466700

出　　处：《齐齐哈尔医学院学报》2023年第19期1838-1841,共4页Journal of Qiqihar Medical University

摘　　要：目的探究院前与院内急救一体化模式在急性脑梗死患者急诊急救中的应用效果。方法选择2022年1—12月本院急诊科急性脑梗死患者作为研究对象,其中2022年1—6月收治的30例为参照组,由其家属护送入院且接受常规院内急救;2022年7—12月收治的30例为研究组,均在院前与院内急救一体化模式下急救。比较急诊急救效果。结果研究组抢救成功率(96.67%)、急救疗效(96.67%)及患者对医疗服务满意度(96.67%)均较参照组(80.00%、73.33%、76.67%)更高,并发症发生率(10.00%)较参照组(33.33%)更低;入院-急救医师接诊、开具CT报告、静脉溶栓、动脉成功置鞘及置鞘-血管再通时间[(7.14±2.33)min、(22.45±2.79)min、(49.71±7.68)min、(77.38±7.51)min、(65.38±5.91)min]均较参照组用时[(10.05±2.41)min、(31.87±3.5)4min、(83.34±9.79)min、(96.84±9.97)min、(74.84±5.97)min]更短;治疗6 h、24 h及7 d后神经功能受损评分[(13.85±1.18)分、(9.71±1.08)分、(6.81±0.96分)]低于参照组[(16.01±1.43)分、14.34±2.79)分、9.67±1.09分)],生活自理能力评分为(74.09±9.44)分,高于参照组的(65.39±6.44)分;住院天数为(12.12±4.27)d,较参照组的(19.74±5.69)d更短,差异均有统计学意义(均P<0.05)。结论院前与院内急救一体化模式的应用可缩短急性脑梗死患者抢救时间及提升抢救效果,并积极影响预后,值得推广。Objective To explore the application effect of the integrated model of pre-hospital and in-hospital first aid in the emergency first aid of patients with acute cerebral infarction.Methods The subjects of the study were all patients with acute cerebral infarction those were admitted to the emergency department of Zhoukou dongxin hospital during January and December 2022.The 30 cases be admitted to the hospital from January to June 2022 were enrolled in the reference group,they were escorted to the hospital by their family members and receive routine in-hospital first aid;the 30 cases be admitted to the hospital from July to December 2022 were enrolled in the research group,all of received integrated pre-hospital and in-hospital first aid.The emergency first aid effects of the two groups were compared.Results The rescue success rate(96.67%),efficacy of first aid(96.67%)and patients'satisfaction with medical services(96.67%)in the study group were higher than those in the reference group(80.00%,73.33%,76.67%),however,the incidence of complications(10.00%)was lower than that of the reference group(33.33%).The time needed for admission-emergency doctor consultation,CT report,intravenous thrombolysis,successful arterial sheath placement and sheath placement-vascular recanalization(7.14±2.33min,22.45±2.79min,49.71±7.68min,77.38±7.51min,65.38±5.91min)in the study group were shorter than those of the reference group(10.05±2.41min,31.87±3.54min,83.34±9.79min,96.84±9.97min,74.84±5.97min).At 6h,24h and 7d after treatment,the neurological impairment scores(13.85±1.18 points,9.71±1.08 points,6.81±0.96 points)in study group were lower than those of the reference group(16.01±1.43 points,14.34±2.79 points,9.67±1.09 points).The self-care ability score(74.09±9.44 points)was higher than that of the reference group(65.39±6.44 points);the length of hospital stay(12.12±4.27d)was shorter than that of the reference group(19.74±5.69d);the data comparison was statistically significant(P<0.05).Conclusions The application

关 键 词：院前与院内急救一体化模式 急性脑梗死 急诊科 急救 神经功能 

分 类 号：R743.33[医药卫生—神经病学与精神病学]