基于时间节点的院内快速急救干预模式用于脑梗死患者急诊静脉溶栓中的效果  

Effect of Rapid Hospital Emergency Intervention Mode Based on Time Node for Emergency Intravenous Thrombolysis in Patients with Cerebral in Farction

作　　者：陈敏[1] 叶彬妹 CHEN Min;YE Binmei(Department of Emergency,Xiamen Hospital of Traditional Chinese Medicine,Xiamen 361006,China;Department of Cadre Health,the First Affiliated Hospital of Xiamen University,Xiamen 361006,China)

机构地区：[1]厦门市中医院急诊科,厦门361006 [2]厦门大学附属第一医院干部保健二科,厦门361006

出　　处：《中国医药指南》2024年第14期51-54,共4页Guide of China Medicine

摘　　要：目的探讨基于时间节点的院内快速急救干预模式对脑梗死患者急诊静脉溶栓的影响。方法选取本院80例2022年1月—2022年12月急诊静脉溶栓的脑梗死患者,分组方式为随机抽签法,各40例,对照组采用常规急救护理,观察组采用基于时间节点的院内快速急救干预模式,比较两组的护理效果。结果观察组CT检查完成时间、溶栓前等待时间较对照组短,60 min溶栓率较对照组高(均P<0.05);护理后,观察组神经功能缺损情况评分较对照组低、认知功能评分较对照组高(均P<0.05);护理后,观察组的上、下肢运动功能评分均较对照组高(均P<0.05);护理后,观察组日常生活能力评分、生活质量评分均较对照组高(均P<0.05)。结论基于时间节点的院内快速急救干预模式可缩短脑梗死患者急诊静脉溶栓前等待时间,改善患者的认知功能与运动功能,减轻神经功能损伤,提升日常生活能力与生活质量。Objective To investigate the effect of time-nodal rapid emergency intervention mode on emergency intravenous thrombolysis in patients with cerebral infarction.Methods A total of 80 patients with cerebral infarction who underwent intravenous thrombolysis in the emergency department from January 2022 to December 2022 were selected from January 2022 to December 2022,and 40 patients in each group were randomly divided into 2 groups,with 40 patients in each group.The control group received routine emergency care,and the observation group received rapid emergency intervention mode based on time node.Results The completion time of CT examination and the waiting time before thrombolysis in the observation group were shorter than those in the control group,and the thrombolysis rate at 60 min was higher than that in the control group(all P<0.05).After nursing,the neurological deficit and cognitive function scores of the observation group were lower than those of the control group(both P<0.05),the motor function scores of the upper and lower limbs of the observation group were higher than those of the control group(both P<0.05),and the daily living skills and quality of life scores of the observation group were higher than those of the control group(both P<0.05).Conclusions The hospital rapid emergency intervention mode based on time node can shorten the waiting time before emergency intravenous thrombolysis in patients with cerebral infarction,improve the cognitive and motor functions of patients,reduce the neurological function injury,and improve the ability of daily life and quality of life.

关 键 词：脑梗死 急诊 院内快速急救干预模式 静脉溶栓 

分 类 号：R743.3[医药卫生—神经病学与精神病学]