摘要
目的 观察专职护士救护流程在急性缺血性脑卒中(AIS)患者中的应用效果。方法 回顾性分析2023年6月—2024年6月于南方医科大学附属广东省人民医院进行治疗的280例AIS患者临床资料,将采用常规救护流程的AIS患者纳入对照组(n=102),采用专职护士救护流程的AIS患者纳入研究组(n=178),比较两组患者溶栓时间及入院至开始溶栓时间(DNT)60 min达标率[患者入院首诊时点至急诊专科团队启动诊疗响应的间隔时长(DTP)、患者入院基准时刻至卒中专科诊疗单元完成临床评估接管的时距(DTT)、患者入院初始记录至神经影像学(CT)诊断报告生成的时间跨度(DTI)、患者入院登记时刻至生化/凝血等卒中相关实验室检测指标反馈的周期时长(DTL)、DNT]、统计两组患者溶栓前、溶栓后1周、溶栓后1个月美国国立卫生院卒中量表(NIHSS)评分,溶栓后90 d时,比较格拉斯哥预后分级标准(GOS)及改良的Rankin量表(mRS)评分、临床结局。结果 研究组患者溶栓时间、NIHSS评分、mRS评分均低于对照组,DNT 60 min达标率、GOS等级均高于对照组(P<0.05);两组患者血管再通率、症状性脑出血率、病死率差异无统计学意义(P>0.05)。结论 专职护士救护流程应用于AIS患者中能够缩短各环节救治时间,改善患者预后,提高患者生活质量。
Objective To observe the application effect of full-time nurse rescue process on patients with acute ischemic stroke(AIS).Methods The clinical data of two hundred and eighty patients with AIS who received treatment in Guangdong Provincial People´s Hospital Affiliated to Southern Medical University from June 2023 to June 2024 were retrospectively analyzed.AIS patients who adopted routine rescue process were included in control group(n=102),and AIS patients who used full-time nurse rescue process were enrolled as study group(n=178).The thrombolytic time and door to needle time(DNT)60 min compliance rate[time from first visit to emergency specialist team to starting the diagnosis and treatment response(DTP),door to stoke team(DTT),door to imaging(DTI),cycle from the time of admission registration to feedback of biochemical/coagulation and other stroke-related laboratory test indicators(DTL),DNT]were compared between groups,and the score of National Institutes of Health Stroke Scale(NIHSS)was counted in both groups before thrombolysis and at 1 week and 1 month after thrombolysis,and the score of Glasgow Outcome Scale(GOS),score of Modified Rankin Scale(mRS)and clinical outcomes were compared at 90 days after thrombolysis.Results The thrombolysis time,NIHSS score and mRS score in study group were lower than those in control group while the DNT 60 min compliance rate and GOS grading were significantly higher than those in control group(P<0.05).There were no statistical differences in thevascular recanalization rate,symptomatic cerebral hemorrhage rate and mortality rate between groups(P>0.05).Conclusion The application of dedicated nurse care procedures in ais patients can shorten the time at each treatment stage,improve patient prognosis,and enhance quality of life.
作者
古瑞平
蓝立欢
何蕴丝
马腾云
高玉元
张文静
GU Ruiping;LAN Lihuan;HE Yunsi;MA Tengyun;GAO Yuyuan;ZHANG Wenjing(Department of Neurology,Guangdong Provincial People's Hospital Affiliated to Southern Medical University(Guangdong Provincial Academy of Medical Sciences),Guangzhou Guangdong 510080,China)
出处
《中国急救复苏与灾害医学杂志》
2025年第8期1098-1102,共5页
China Journal of Emergency Resuscitation and Disaster Medicine
