基于时间节点为导向的院内急救干预在急性脑卒中患者中的应用效果  

Effect of time node-oriented in-hospital emergency intervention on patients with acute stroke

作　　者：许坤红 施琳琳 林美娜 潘瑞清 吴明雅 许红姨 简钢仁 XU Kunhong;SHI Linlin;LIN Meina;PAN Ruiqing;WU Mingya;XU Hongyi;JIAN Gangren(Jinnan Branch of Jinjiang Hospital,Jinjiang 362240,China;Anhai Health Center in Jinjiang City,Jinjiang 362240,China;Fujian Provincial Hospital,Fuzhou 350000,China)

机构地区：[1]晋江市医院晋南分院,福建晋江362240 [2]晋江市安海卫生院,福建晋江362240 [3]福建省立医院,福建福州350000

出　　处：《临床医药实践》2024年第9期696-699,共4页Proceeding of Clinical Medicine

摘　　要：目的:探讨基于时间节点为导向的院内急救干预在急性脑卒中患者中的应用效果。方法:根据随机数表法将2022年6月—2023年6月晋江市医院晋南分院急诊收治的120例急性脑卒中患者分为对照组和观察组,每组60例。对照组给予常规院内急救干预,观察组给予基于时间节点为导向的院内急救干预。比较两组患者的急救时间和神经功能、吞咽功能和生活质量评分及预后。结果:观察组入院至接诊、入院至CT报告获取、入院至溶栓的时间均短于对照组,差异有统计学意义(P<0.05)。出院时两组患者神经功能评分低于干预前,且观察组低于对照组,差异有统计学意义(P<0.05)。出院时两组患者吞咽功能评分和心理功能、生活功能、环境适应3个维度的评分均高于干预前,且观察组高于对照组,差异有统计学意义(P<0.05)。出院时,观察组无明显功能障碍、轻度残疾例数均多于对照组,明显残疾例数少于对照组,差异均有统计学意义(P<0.05)。两组患者死亡例数比较,差异无统计学意义(P>0.05)。结论:基于时间节点为导向的院内急救干预可缩短急性脑卒中患者的急救时间,有利于神经功能和吞咽功能的恢复,可改善预后,提升生活质量。Objective:To explore the application effect of time node-oriented in-hospital emergency intervention in patients with acute stroke.Methods:According to the random number table method,120 patients with acute stroke who were treated in the emergency department of Jinnan Branch of Jinjiang Hosital from June 2022 to June 2023 were divided into control group(n=60)who was given routine in-hospital emergency intervention,and observation group(n=60)was given time node-oriented in-hospital emergency intervention.The first aid time,nerve,swallowing,cognitive function,quality of life and clinical outcomes of the two groups were compared.Results:The time from admission to admission,to CT report acquisition and to thrombolysis in the observation group were lower than those in the control group(P<0.05).The neurological function score of the observation group was lower than that of the control group(P<0.05),and the swallowing function score was higher than that of the control group(P<0.05).At discharge,the scores of the three dimensions of the concise quality of life assessment scale in the observation group were higher than those in the control group(P<0.05).At discharge,the number of patients with no obvious dysfunction and mild disability in the observation group was higher than that in the control group(P<0.05),and the number of patients with obvious disability was lower than that in the control group(P<0.05).There was no significant difference in the number of deaths between the two groups(P>0.05).Conclusion:Time-node-oriented in-hospital emergency intervention can shorten the time of first aid,which is conducive to the recovery of nerve,swallowing and cognitive function,improving clinical outcomes and improving quality of life.

关 键 词：时间节点 院内急救 急性脑卒中 急诊 救治效果 

分 类 号：R473.74[医药卫生—护理学]