预警式分级管理联合急诊绿色通道护理在急性重症脑卒中患者中的应用效果  

Application effect of early-warning classification management combined with emergency green channel nursing in patients with acute severe stroke

作　　者：丁天龙 DING Tianlong(Emergency Department,Caoxian People's Hospital,Heze,Shandong 274400,China)

机构地区：[1]曹县人民医院急诊科,山东菏泽274400

出　　处：《医药前沿》2025年第8期107-110,共4页Journal of Frontiers of Medicine

摘　　要：目的观察预警式分级管理联合急诊绿色通道护理在急性重症脑卒中患者中的应用效果。方法回顾性分析2022年11月—2023年11月曹县人民医院急诊科收治的60例急性重症脑卒中患者的临床资料,根据护理方式的不同分为对照组和观察组各30例。对照组采用急诊绿色通道护理,观察组在对照组基础上联合预警式分级管理。比较两组急救时间、神经功能缺损程度、生活自理能力、肢体功能、并发症及生活质量。结果观察组入院至病情确诊、开通静脉通路、进行CT检查、进行溶栓或血管介入的时间均短于对照组(P<0.05);护理后,观察组中国脑卒中临床神经功能缺损评分量表(CSS)评分低于对照组,Barthel指数(BI)、简式Fugl-Meyer评定量表(FMA)、脑卒中专门生存质量量表(SSQOL)评分均高于对照组(P<0.05);观察组并发症总发生率低于对照组,但差异无统计学意义(P>0.05)。结论预警式分级管理联合急诊绿色通道护理能有效缩短急性重症脑卒中患者急救时间,促进患者神经功能、生活自理能力和肢体功能恢复,降低并发症总发生率,提高其生活质量。Objective To observe the application effect of early-warning classification management combined with emergency green channel nursing in patients with acute severe stroke.Methods The clinical data of 60 patients with acute severe stroke admitted to the Emergency Department of Caoxian People's Hospital from November 2022 to November 2023 were retrospectively analyzed,and they were divided into control group and observation group with 30 cases in each group according to different nursing methods.The control group received emergency green channel nursing,and the observation group combined early-warning classification management based on the control group.The first aid time,degree of neurological impairment,self-care ability,limb motor function,complications and quality of life were compared between the two groups.Results The time from admission to diagnosis,opening of venous access,CT examination,thrombolysis or vascular intervention in the observation group was shorter than those in the control group(P<0.05);after nursing,the Chinese Stroke Clinical Neurological Impairment Scale(CSS)score of the observation group was lower than that in the control group,the Barthel Index(BI),Fugl-Meyer Rating Scale(FMA)and Stroke Specific Quality of Life Scale(SSQOL)of the observation group were higher than those in the control group(P<0.05);the total incidence of complications in the observation group was lower than that in the control group,but there was no significant difference between the two groups(P>0.05).Conclusions Early warning classification management combined with emergency green channel nursing can effectively shorten the emergency time of patients with acute severe stroke,promote the recovery of neurological function,self-care ability and limb function,reduce the incidence of complications,and improve their quality of life.

关 键 词：急性重症脑卒中 预警式分级管理 急诊绿色通道护理 急救时间 神经功能 生活自理能力 肢体功能 生活质量 

分 类 号：R473[医药卫生—护理学]