基于早期预警评分在急诊脑卒中患者溶栓治疗中的应用效果观察  

Observation on the application effect of early warning score in thrombolysis treatment for emergency stroke patients

作　　者：柯尔欢 李炜明 陈惠强 KE Erhuan;LI Weiming;CHEN Huiqiang(Emergency Department,Fuzhou Second General Hospital,Fujian,Fuzhou 350007,China;Area 9 of Fuzhou Second General Hospital,Fujian,Fuzhou 350007,China)

机构地区：[1]福州市第二总医院急诊科,福建福州350007 [2]福州市第二总医院9区,福建福州350007

出　　处：《中国医药科学》2024年第20期98-101,共4页China Medicine And Pharmacy

基　　金：福建省科技创新平台项目(2020Y2014)。

摘　　要：目的 探究早期预警分级对急诊脑卒中溶栓患者治疗过程中判断病情危重程度的作用。方法 福州市第二总医院急诊科从2022年6月开始在急诊脑卒中溶栓患者治疗过程中开展早期预警分级联合急诊护理绿色通道。选取实施前后1年时间内(实施前2021年6月至2022年5月,实施后2022年6月至2023年5月)各42例患者作为观察对象,实施开展前纳入患者为对照组(42例,治疗期间开展常规急诊护理支持)和实施后纳入患者为观察组(42例,治疗期间开展常规急诊护理支持+早期预警分级)。针对两组患者血管开通率、神经功能缺损评分(NIHSS)、并发症以及急诊抢救时间、住院时间等进行比较。结果 观察组血管开通率高于对照组,差异有统计学意义(P <0.05)。观察组分诊时间、急诊抢救时间、住院时间、血管再通时间均短于对照组,差异有统计学意义(P <0.05)。治疗前两组NIHSS评分比较,差异无统计学意义(P> 0.05),治疗后观察组低于对照组,差异有统计学意义(P <0.05)。治疗前两组在治疗过程中生活质量比较差异无统计学意义(P> 0.05),治疗后观察组高于对照组,差异有统计学意义(P <0.05)。观察组恢复过程中并发症总发生率低于对照组,差异有统计学意义(P <0.05)。结论 在对急诊脑卒中溶栓患者治疗过程中开展常规急诊护理联合早期预警分级对判断病情危重程度有积极作用,可以提升患者血管再通率,缩短患者抢救时间,降低患者NIHSS评分,并提升患者在恢复期间生活质量,有助于患者恢复。Objective To explore the role of early warning grading in determining the severity of condition during the thrombolysis treatment for emergency stroke patients.Methods In June 2022,the Emergency Department,Fuzhou Second General Hospital began to carry out the green channel of early warning and grading combined with emergency nursing in the process of thrombolysis treatment for emergency stroke patients.42 patients in each group within one year before and after the implementation were selected as the observation subjects(before the implementation:from June 2021 to May 2022,after the implementation:from June 2022 to May 2023).Before the implementation,42 patients were included as the control group(42 patients were given routine emergency nursing support during the treatment)and after the implementation,42 patients were included as the observation group(42 patients were given routine emergency nursing support and early warning grading during the treatment).The vascular patency rate,National institute of health stroke scale(NIHSS)score,complications,emergency rescue time and hospitalization time of the two groups were compared.Results The vascular patency rate in the observation group was higher than that in the control group,and the difference was statistically significant(P<0.05).The observation group had shorter diagnostic time,emergency rescue time,hospitalization time,and vascular recanalization time compared to the control group,with statistically significant differences(P<0.05).There was no statistical difference between the two groups in NIHSS before treatment(P>0.05),but after treatment,the observation group was lower than the control group,and the difference was statistically significant(P<0.05).There was no difference in the quality of life in the two groups before treatment(P>0.05),but the quality of life in the observation group was higher than that in the control group after treatment,with statistically significant difference(P<0.05).The total incidence of complications during the recovery process in th

关 键 词：急诊脑卒中溶栓治疗 早期预警分级 急诊护理 血管开通率 神经功能缺损评分 生活质量 

分 类 号：R473.74[医药卫生—护理学]