急救流程干预措施在急性缺血性脑卒中介入取栓患者中的应用效果分析  

Analysis of the Application Effect of Emergency Protocol Interventions in Patients with Acute Ischemic Stroke Undergoing Endovascular Thrombectomy

作　　者：施心怡 王敏 庄培敏 SHI Xinyi;WANG Min;ZHUANG Peimin(Xianning Central Hospital Radiology intervention ward.Xianning 437000,China;Xianning First People's Hospital Neurology,Xianning 437000,China;Putian First Hospital Nephrology and Hematology Department,Putian 351100,China)

机构地区：[1]咸宁市中心医院放射科介入病房,湖北咸宁437000 [2]咸宁市第一人民医院神经内科,湖北咸宁437000 [3]莆田市第一医院肾血液内科,福建莆田351100

出　　处：《中华灾害救援医学》2025年第2期154-158,共5页Chinese Journal of Disaster Medicine

基　　金：莆田学院关于公布2023年科研项目(2023097)。

摘　　要：目的分析急救流程干预在急性缺血性脑卒中介入取栓患者中的应用价值。方法回顾性分析2023年1月至2024年12月咸宁市中心医院收治的80例急性缺血性脑卒中行介入取栓术患者的临床资料。根据急救干预措施的差异分为观察组(实施急救流程护理干预,40例)和对照组(实施急救常规护理干预,40例)。比较两组研究对象急救效率、自我护理能力、自我效能、神经功能情况、并发症发生情况。结果与对照组相比,观察组研究对象院前急救时间、预检分诊时间、静脉开通时间、CT检查时间、转诊时间、抢救时间均明显更短(P<0.001)。干预前,两组研究对象自我护理能力ESCA量表(自我护理能力、自我护理责任、自我概念、健康知识水平、总分)评分、自我效能SSEQ量表(日常生活活动效能、自我管理效能、总分)评分、神经功能NIHSS评分比较均无明显差异。干预后,两组研究对象以上ESCA量表4个维度的评分和总分、SSEQ量表2个维度的评分和总分均明显升高(P<0.05),NIHSS评分均明显降低(P<0.001);且与对照组相比,观察组ESCA量表4个维度的评分和总分、SSEQ量表2个维度的评分和总分明显更高(P<0.001),NIHSS评分明显更低(P<0.001)。与对照组相比,观察组研究对象并发症的总发生率明显更低(7.50%vs.25.00%,P<0.001)。结论对于急性缺血性脑卒中介入取栓患者,急救流程护理干预可有效提高急救效率,提升患者的自我护理能力和自我效能,改善患者的神经功能,降低并发症的发生风险。Objective To analyze the application value of emergency process interventions in patients undergoing endovascular thrombectomy for acute ischemic stroke.Methods A retrospective analysis was conducted on the clinical data of 80 patients with acute ischemic stroke who underwent endovascular thrombectomy at Xianning Central Hospital from January 2023 to December 2024.Based on the differences in emergency interventions,the patients were divided into an observation group(40 patients receiving emergency process nursing interventions)and a control group(40 patients receiving standard emergency nursing interventions).The two groups were compared in terms of emergency efficiency,self-care ability,self-efficacy,neurological function,and incidence of complications.Results Compared to the control group,the observation group exhibited significantly shorter times for pre-hospital emergency,triage,venous access,CT examination,referral,and resuscitation(P<0.001).Prior to the intervention,there were no significant differences between the two groups in terms of self-care ability assessed by the ESCA scale(self-care ability,self-care responsibility,self-concept,health knowledge level,total score),self-efficacy measured by the SSEQ scale(daily living activity efficacy,self-management efficacy,total score),or neurological function as indicated by the NIHSS score.Post-intervention,both groups showed significant increases in the four dimensions and total score of the ESCA scale,as well as the two dimensions and total score of the SSEQ scale(P<0.05),while NIHSS scores significantly decreased(P<0.001).Furthermore,the observation group had significantly higher scores in the four dimensions and total score of the ESCA scale and the two dimensions and total score of the SSEQ scale compared to the control group(P<0.001),along with significantly lower NIHSS scores(P<0.001).The overall incidence of complications was also significantly lower in the observation group compared to the control group(7.50%vs.25.00%,P<0.001).Conclusion For patients u

关 键 词：急性缺血性脑卒 介入取栓 护理 

分 类 号：R472.2[医药卫生—急诊医学]