急救绿色通道联合中医临床护理路径在脑卒中患者急诊救治中的应用  

作　　者：许玉梅 彭福平 

机构地区：[1]厦门市第五医院,福建厦门361101

出　　处：《黑龙江中医药》2024年第5期279-281,共3页Heilongjiang Journal of Traditional Chinese Medicine

摘　　要：目的:研究脑卒中患者采用急救绿色通道和中医临床护理路径对救治效果的影响。方法:选取58例脑卒中患者,救治时间为2023年10月至2024年6月,采用随机分组原则实施分组,对照组应用常规急救护理程序,观察组联合应用急救绿色通道与中医临床护理,比较两组急救效果。结果:两组急救时间对比可知,观察组患者所需急救时间显著更短(P<0.05)。干预后观察组有着更低的美国国立卫生院卒中量表(NIHSS)评分和更高的Fugl-Meyer评定量表(FMA)评分及Barthel指数(BI)评分(P<0.05)。干预后观察组患者中医证候积分较对照组低(P<0.05)。观察组有着更低的并发症总发生率(P<0.05),死亡率组间比较差异不显著(P>0.05)。结论:脑卒中患者联合应用急救绿色通道及中医临床护理路径可优化急救效果,促进患者各项身体机能改善,还能够减少并发症。Objective:To analyze the emergency treatment effect of combining emergency green channel with traditional Chinese medicine clinical nursing pathway in stroke patients.Method:58 stroke patients were selected for treatment from October 2023 to June 2024,and were randomly divided into two groups.The control group received routine emergency nursing procedures,while the observation group received a combination of emergency green channel and traditional Chinese medicine clinical nursing.The emergency effects of the two groups were compared.Result:The comparison of emergency time between the two groups shows that the observation group patients require significantly shorter emergency time(P<0.05).After intervention,the observation group had lower National Institutes of Health Stroke Scale(NIHSS)scores and higher Fugl Meyer Assessment(FMA)scores and Barthel Index(BI)scores(P<0.05).After intervention,the TCM syndrome score of the observation group was lower than that of the control group(P<0.05).The observation group had a lower overall incidence of complications(P<0.05),and there was no significant difference in mortality rate between the groups(P>0.05).Conclusion:The combination of emergency green channel and traditional Chinese medicine clinical nursing pathway can optimize the emergency effect,promote the improvement of various physical functions of stroke patients,and reduce complications.

关 键 词：脑卒中 急救绿色通道 中医临床护理路径 急救时间 神经功能 肢体运动功能 日常生活活动能力 中医证候积分 

分 类 号：R248.9[医药卫生—中医临床基础]