摘要
目的:探讨团队式干预结合静脉溶栓绿色通道对急性缺血性脑卒中(AIS)患者疗效的影响。方法:选取2019年1月-2021年5月在潮州市中心医院接受静脉溶栓治疗的72例患者,2019年1-12月36例采用传统救治流程,作为对照组;2020年1月-2021年5月36例采用团队式干预结合静脉溶栓绿色通道救治流程,作为观察组。比较两组的总体救治效果、美国国立卫生研究院卒中量表(NIHSS)评分、日常生活能力(ADL)评分和满意度。结果:观察组的急诊医生评估时间、开放静脉通道时间、抢救时间、CT完成时间、入院至静脉溶栓时间(DNT)均明显短于对照组,差异均有统计学意义(P<0.05)。观察组入院2、3.5 h的静脉溶栓率均明显高于对照组(P<0.05);入院2、3.5、4.5 h的NIHSS评分均明显低于对照组(P<0.05)。观察组院内治疗总有效率明显高于对照组(69.44% vs 30.56%),住院时间明显短于对照组,出院时ADL评定的改良巴氏指数(BI)明显高于对照组,差异均有统计学意义(P<0.05)。观察组患者家属总满意度明显高于对照组(94.44% vs 72.22%),医生对急性脑卒中救治流程总满意度明显高于对照组(94.00% vs 70.00%),差异有统计学意义(P<0.05)。结论:团队式干预结合静脉溶栓绿色通道应用于AIS患者的救治中能有效缩短溶栓治疗前的等待时间,提高救治效率和静脉溶栓率,改善患者的神经功能缺损和日常生活能力,并显著提高患者家属和医生对救治过程的满意度,值得临床推广应用。
Objective:To explore the effect of team intervention combined with intravenous thrombolysis green channel on the efficacy of patients with acute ischemic stroke (AIS) and the National Institutes of Health stroke scale (NIHSS) score,activity of daily living (ADL) score.Method:A total of 72 patients who received intravenous thrombolysis in Chaozhou Central Hospital from January 2019 to May 2021 were selected,and 36 patients who received traditional treatment process from January to December 2019 were selected as the control group,from January 2020 to May 2021,36 cases were treated with team intervention combined with intravenous thrombolysis green channel treatment process as the observation group.The overall treatment effect,National Institutes of Health stroke scale (NIHSS) score,activity of daily living (ADL) score and satisfaction were compared between the two groups.Result:The evaluation time of emergency doctors,time of opening venous channels,rescue time,CT completion time and door to needle time (DNT) of the observation group were significantly shorter than those of the control group (P<0.05).The intravenous thrombolysis rate of 2 and 3.5 hours after admission in the observation group were significantly higher than those in the control group (P<0.05),and the NIHSS scores at 2,3.5 and 4.5 hours after admission of the observation group were significantly lower than those of the control group (P<0.05).The total effective rate of the observation group was significantly higher than that of the control group (69.44% vs 30.56%),the length of hospital stay was significantly shorter than that of the control group,and the modified Barthel Index (BI) assessed by ADL at discharge was also significantly higher than that of the control group,the differences were statistically significant (P<0.05).The satisfaction of patients or their families in the observation group was significantly higher than that in the control group (94.44% vs 72.22%),and the satisfaction of medical staff to the treatment process of AIS patients wa
作者
郑锐俏
ZHENG Ruiqiao(Chaozhou Central Hospital,Chaozhou 521000,China)
出处
《中外医学研究》
2022年第4期161-165,共5页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
急性脑卒中
静脉溶栓
溶栓流程
绿色通道
团队干预
Acute stroke
Intravenous thrombolysis
Thrombolysis process
Green channel
Team intervention
