以时间节点为导向的院内快速急救在急性缺血性脑卒中患者急诊静脉溶栓中的应用效果分析  

Analysis of Application Effect of Time Node-Oriented In-Hospital Rapid First Aid in Emergency Intravenous Thrombolysis of Patients with Acute Ischemic Stroke

作　　者：胡媚 李磊 蒋东波 李满红 Hu Mei;Li Lei;Jiang Dongbo;Li Manhong(Emergency Department,The Central Hospital of Yongzhou,Yongzhou 425002,Hunan Province,China)

机构地区：[1]永州市中心医院急诊科,湖南永州425002

出　　处：《中国社区医师》2025年第2期15-17,共3页Chinese Community Doctors

基　　金：2023年永州市指导性科技计划项目(编号:2023YZ058)。

摘　　要：目的:以时间节点为导向的院内快速急救在急性缺血性脑卒中(AIS)患者急诊静脉溶栓中的应用效果。方法:永州市中心医院于2024年1月开始实施以时间节点为导向的院内快速急救,选取2023年7-12月收治的AIS患者30例作为对照组,选取2024年1—7月收治的AIS患者30例作为观察组。对照组实施常规急救,观察组实施以时间节点为导向的院内快速急救。比较两组急救效果。结果:观察组静脉通路开放时间、CT检查完成时间、溶栓前等待时间均短于对照组(P<0.001)。治疗7 d后、出院时,两组神经功能评分低于治疗前,且观察组低于对照组(P<0.05)。出院时,两组运动功能、日常生活能力评分高于治疗前,且观察组高于对照组(P<0.05)。结论:以时间节点为导向的院内快速急救在AIS患者急诊静脉溶栓中的应用效果显著,可缩短急诊用时,改善患者神经功能和运动功能,提高其日常生活能力。Objective:To explore the application effect of time node-oriented in-hospital rapid first aid in emergency intravenous thrombolysis of acute ischemic stroke(AIS)patients.Methods:Since January 2024,the Central Hospital of Yongzhou began to implement time node-oriented in-hospital rapid first aid.A total of 30 AIS patients admitted from July 2023 to December 2023 were selected as the control group,and 30 AIS patients admitted from January 2024 to July 2024 were selected as the observation group.The control group received routine first aid,and the observation group received time node-oriented in-hospital rapid first aid.The first aid effect was compared between the two groups.Results:The opening time of venous access,the completion time of CT examination,and the waiting time before thrombolysis in the observation group were shorter than those in the control group(P<0.001).After 7 d of treatment and at discharge,the neurological function scores in the two groups were lower than those before treatment,and the scores in the observation group were lower than those in the control group(P<0.05).At discharge,the scores of motor function and daily living ability in the two groups were higher than those before treatment,and the scores in the observation group were higher than those in the control group(P<0.05).Conclusion:The application of time node-oriented in-hospital rapid first aid in emergency intravenous thrombolysis of AIS patients has a significant effect,and can shorten the emergency time,im⁃prove the neurological and motor functions of patients,and enhance their daily living ability.

关 键 词：时间节点 院内快速急救 急性缺血性脑卒中 静脉溶栓 

分 类 号：R743.3[医药卫生—神经病学与精神病学]