摘要
目的:分析在早期静脉动脉溶栓治疗脑梗死中改良护理模式的应用效果。方法:选择2014年1月-2016年12月121例在早期静脉动脉溶栓治疗时间窗内(6 h内)使用rt-PA溶栓的急性脑梗死患者,根据入院时间的不同分为试验组(n=64)和对照组(n=57),对照组采用常规护理模式,试验组采用改良护理模式。观察并比较两组入院至溶栓时间、NIHSS评分、并发症发生率、患者与家属满意度、28 d Barthel指数、m RS评分等指标。结果:试验组和对照组的入院至溶栓时间分别为(54.6±10.5)min和(93.2±20.4)min(P<0.05),NIHSS评分下降分别为(5.38±0.63)和(2.80±1.13)分(P<0.05)。试验组患者与家属满意度、28 d Barthel指数均显著高于对照组,试验组并发症发生率和mRS评分均显著低于对照组,差异均有统计学意义(P<0.05)。结论:在早期静脉动脉溶栓治疗脑梗死中应用改良护理模式,可以明显缩短急性脑卒中患者入院至溶栓时间,降低并发症的发生风险,具有较高的患者满意度,并可以显著改善患者的肢体恢复情况,值得推广。
Objective： To investigate the efficacy of improved nursing model in intravenous thrombolytic therapy for acute cerebral infarction.Method： From January 2014 to December 2016, 121 acute cerebral infarction patients in window phase （ 〈6 h ） of intravenous thrombolytic therapy （ rt-PA ） were divided into the control group （ n=57 ） and the experimental group （ n=64 ） according to different hospital stay.The control group was treated by conventional nursing model, the experimental group was treated by improved nursing model.DQor to needle time, NIHSS score, incidence of complications, patients＇ satisfaction and Barthel index, mRS score in 28 days after intravenous thrombolytic therapy of two groups were comparatively analyzed.Result： The door to needle time of the experimental group and the control group were respectively （ 54.6 ＋ 10.5 ） min and （ 93.2 ± 20.4 ） min, NIHSS decreasing degree of them were respectively （ 5.38 ± 0.63 ） and （ 2.80 ± 1.13 ）, the differences were statistically significant （ P〈0.05 ） .The incidence of complications and mRS score of the experimental group were significantly lower than those of the control group （P〈0.05 ） .The patients＇ satisfaction and Barthel index of the experimental group were much better than those of the control group （ P〈0.05 ） .Conclusion： Improved nursing model in intravenous thrombolytic therapy for acute cerebral infarction can shorten the door to needle time, improve the recanalization rate and moving function and decrease the incidence of complications.
出处
《中国医学创新》
CAS
2017年第14期78-81,共4页
Medical Innovation of China
基金
广西科学研究与开发计划项目(桂科攻15277019)
南宁市科学研究与技术开发计划项目(桂科攻20133180)
关键词
急性脑梗死
静脉动脉溶栓
改良护理模式
Acute cerebral infarction
Intravenous thrombolytic
Improved nursing model
