摘要
目的:探讨急诊快捷护理路径对缩短急性缺血性脑卒中(AIS)患者溶栓绿色通道停留时间的临床价值。方法:选取本院2016年7月-2018年7月收治的AIS患者98例,按时间顺序分成对照组与观察组,各49例。对照组采用传统绿色通道护理路径,观察组采用急诊快捷护理路径。比较两组绿色通道各环节的停留时间及达标率,比较两组脑出血转化率、住院期间死亡率及神经缺损程度。结果:观察组绿色通道各环节的停留时间均明显短于对照组(P<0.05);观察组绿色通道各环节的停留时间达标率均明显高于对照组(P<0.05);观察组脑出血转化率明显低于对照组(P<0.05);两组死亡率比较,差异无统计学意义(P>0.05);治疗6 h、1 d及1周,观察组美国国立卫生研究院卒中量表(NIHSS)评分均低于对照组(P<0.05)。结论:急诊快捷护理路径可有效缩短AIS患者溶栓绿色通道停留时间,降低脑出血转化率,减少神经功能损伤,具有重要的临床价值。
Objective:To explore the clinical value of emergency short-cut nursing path in shortening the stay time of thrombolytic green channel in patients with acute ischemic stroke (AIS).Method:A total of 98 AIS patients admitted to our hospital from July 2016 to July 2018 were selected.They were divided into control group and observation group in chronological order,49 cases in each group.The control group was given the traditional green channel nursing path,while the observation group was given the emergency short-cut nursing path.The stay time and compliance rate of each link of the green channel in the two groups were compared,and the conversion rate of cerebral hemorrhage,the mortality rate during hospitalization and the degree of nerve defect in the two groups were compared.Result:The stay time of each link of the green channel in the observation group were significantly shorter than those in the control group (P<0.05).The compliance rate of each link of green channel in the observation group were significantly higher than those in the control group (P<0.05).The conversion rate of cerebral hemorrhage in the observation group was significantly lower than that in the control group (P<0.05).The mortality rate in two groups was compared the difference was not statistically significant (P>0.05).At 6 hours,1 d and 1 week after treatment,the national institute of health stroke scale (NIHSS) scores of the observation group were lower than those of the control group (P<0.05).Conclusion:Emergency short-cut nursing path can effectively shorten the stay time of thrombolysis green channel in patients with AIS,reduce the conversion rate of cerebral hemorrhage,and neurological impairment,which has important clinical value.
作者
李玉香
李振洋
胡周俊
LI Yuxiang;LI Zhenyang;HU Zhoujun(Xiaolan People’s Hospital of Zhongshan City,Zhongshan 528415,China)
出处
《中国医学创新》
CAS
2020年第6期78-81,共4页
Medical Innovation of China
关键词
急诊快捷护理路径
急性缺血性脑卒中
绿色通道停留时间
Emergency short-cut nursing path
Acute ischemic stroke
Stay time of thrombolytic green channel
作者简介
通信作者:李振洋。
