急诊护理快速通道对急性脑卒中患者救治效果的影响  

Impact of Emergency Nursing Fast-track on Treatment Outcomes in Acute Stroke Patients

作　　者：陈梦雅 黄秋萍[1] 陈虹[1] Chen Mengya;Huang Qiuping;Chen Hong(Guangdong Provincial Hospital of Chinese Medicine,Guangzhou 510006,Guangdong Province,China)

机构地区：[1]广东省中医院,广东广州510006

出　　处：《中外医药研究》2025年第8期126-128,共3页JOURNAL OF CHINESE AND FOREIGN MEDICINE AND PHARMACY RESEARCH

摘　　要：目的:探究急诊护理快速通道对急性脑卒中患者救治效果的影响。方法:选取2023年6月—2024年5月广东省中医院急诊科接诊的68例急性脑卒中患者为研究对象,其中2023年6—12月接诊的34例患者纳入对照组,接受常规急诊护理流程;2024年1—5月接诊的34例患者纳入观察组,实施急诊护理快速通道。比较两组救治时间、临床结局和神经功能。结果:观察组等候救治时间、就诊至确诊时间、确诊至治疗时间及急诊停留时间均短于对照组(P<0.05)。观察组救治成功率高于对照组,致残率低于对照组(P<0.05)。治疗前,两组美国国立卫生院卒中量表评分比较,无统计学差异(P>0.05);治疗后第7天,两组美国国立卫生院卒中量表评分降低,观察组低于对照组(P<0.05)。结论:实施急诊护理快速通道可以显著缩短急性脑卒中患者的救治时间,提高救治成功率并降低致残率,还可改善患者的神经功能。Objective:To investigate the impact of emergency nursing fast-track on treatment outcomes in acute stroke patients.Methods:Sixty-eight acute stroke patients admitted to the Emergency Department of Guangdong Provincial Hospital of Chinese Medicine from June 2023 to May 2024 were enrolled.Thirty-four patients admitted from June to December 2023 were assigned to the control group and received conventional emergency care,while 34 patients admitted from January to May 2024 were assigned to the observation group and received emergency nursing fast-track.Treatment time metrics,clinical outcomes,and neurological function were compared.Results:The observation group demonstrated significantly shorter waiting time for treatment,door-to-diagnosis time,diagnosis-to-treatment time,and emergency department length of stay compared to the control group(P<0.05).The observation group also exhibited a higher treatment success rate and lower disability rate compared to the control group(P<0.05).Before treatment,no significant difference in National Institutes of Health Stroke Scale scores was observed between the two groups(P>0.05).At 7 days post-treatment,National Institutes of Health Stroke Scale scores decreased in both groups,with significantly lower scores in the observation group compared to the control group(P<0.05).Conclusion:The implementation of emergency nursing fast-track can significantly shorten the treatment time of patients with acute stroke,improve the success rate of treatment and reduce the disability rate,and also improve the neurological function of patients.

关 键 词：急性脑卒中 急诊 快速通道 预后 

分 类 号：R473.5[医药卫生—护理学]