标准化院外急救流程对急性缺血性脑卒中超早期救治的作用  

The role of standardized outpatient emergency procedures in the ultra early treatment of acute ischemic stroke

作　　者：曾雁英 ZENG Yanying(Fifth People's Hospital of Nanhai District,Foshan,Guangdong 528231)

机构地区：[1]佛山市南海区第五人民医院,广东佛山528231

出　　处：《智慧健康》2025年第1期66-69,共4页Smart Healthcare

摘　　要：目的 探究在急性缺血性脑卒中超早期救治过程中实施标准化院外急救流程的作用。方法 选取2023年1月1日—2024年6月30日在本院接受院外救治的80例急性缺血性脑卒中患者为研究对象,因中途退出或病历有缺失等原因筛除10例,最终获得有效病例共70例。按照随机数表法将这70例患者分为两组,即对照组(n=35)与观察组(n=35)。对照组实施常规院前急救,观察组实施标准化院外急救,对研究对象进行超早期救治,对比两组的临床总有效率、救治时间、近期并发症、致残率及病死率。结果 观察组的临床总有效率明显高于对照组(P<0.05)。观察组的确诊时间、静脉开通时间、CT检查时间、院外救治时间及入住科室时间均短于对照组(P<0.05)。观察组的近期并发症总发生率与对照组相近,组间对比差异无统计学意义(P>0.05)。两组患者致残率对比,差异无统计学意义(P>0.05),观察组的病死率明显低于对照组(P<0.05)。结论 标准化院外急救流程对急性缺血性脑卒中超早期救治的作用突出,值得推荐。Objective To explore the role of implementing standardized out of hospital emergency procedures in the ultra early treatment of acute ischemic stroke.Methods 80 patients with acute ischemic stroke who received treatment outside the hospital from January 1,2023 to June 30,2024 were selected as the research subjects.Due to reasons such as withdrawal or missing cases,10 cases were screened out,and a total of 70 effective cases were finally obtained.According to the random number table method,these 70 patients were divided into two groups for the study,namely the control group (n=35) and the observation group (n=35).The control group received routine pre hospital emergency treatment;The observation group implemented standardized outpatient first aid and provided ultra early treatment to the research subjects;Compare the clinical total effective rate,treatment time,recent complications,disability rate,and mortality rate between the two groups.Results The clinical total effective rate of the observation group (94.29%) was significantly higher than that of the control group (82.86%) (P<0.05).The diagnosis time,vein opening time,CT examination time,out of hospital treatment time,and admission time of the observation group were all shorter than those of the control group,P<0.05.The total incidence of recent complications in the observation group was 25.71%,while the total incidence of recent complications in the control group was 22.86%.There was no significant difference between the groups,P>0.05.There was no statistically significant difference in disability rate between groups (P>0.05),and the mortality rate of the observation group was significantly lower than that of the control group (P<0.05).Conclusion Standardized out of hospital emergency procedures play a prominent role in the ultra early treatment of acute ischemic stroke and are worthy of recommendation.

关 键 词：急性缺血性脑卒中 超早期救治 标准化院外急救 并发症 致残率 病死率 

分 类 号：R47[医药卫生—护理学]