摘要
目的探讨目标管理救护模式对急性缺血性脑卒中(AIS)患者急诊救治效能的影响。方法回顾性分析福州市第二医院2021年1月至2022年4月诊治的71例AIS患者的临床资料,将患者依据救护方法的不同分组,实施常规救护的35例患者为对照组,实施目标管理救护的36例患者为观察组。比较2组患者的急诊救治效能、救治合格情况和神经功能。结果观察组的60 min内溶栓率高于对照组,急诊评估开始至出急诊时间、到达CT室至CT完成时间、标本送检至出报告时间、CT检查结束至首剂给药时间、就诊至静脉溶栓用药时间均短于对照组(P均<0.05)。观察组患者的CT准备、CT检查和溶栓准备完成合格率均高于对照组(P均<0.05)。2组在出院时的美国国立卫生研究院卒中量表(NIHSS)评分、血清神经元特异性烯醇化酶(NSE)和中枢神经特异蛋白(S100β)水平均低于入院时(P均<0.05);观察组在出院时NIHSS评分、血清NSE及S100β水平均低于对照组(P均<0.05)。结论对AIS患者实施目标管理救护能有效提高急诊救治效能和救治合格率,减轻神经功能损伤。
Objective To explore the effect of target management rescue mode on the emergency treatment efficacy in patients with acute ischemic stroke(AIS).Methods The clinical data of 71 AIS patients treated at Fuzhou Second Hospital from January 2021 to April 2022 were retrospectively analyzed.The patients were grouped according to the different rescue methods,with 35 patients in the control group receiving conventional rescue and 36 patients in the observation group receiving target management rescue.The patients in the two groups were compared in terms of emergency treatment efficacy,treatment eligibility,and neurological function.Results The rate of thrombolysis within 60 mins was higher in the observation group than in the control group,and the time from emergency assessment to leaving the emergency room,time from arriving at the CT room to finishing the CT scan,time from specimen submission to report,time from finishing the CT scan to administration of first dose,and time from presentation to intravenous thrombolytic medication were shorter in the observation group(all P<0.05).The observation group had higher qualified rates of CT preparation,CT scan,and thrombolysis preparation than the control group(all P<0.05).At discharge,the scores of National Institutes of Health Stroke Scale(NIHSS),the levels of serum neuron specific enolase(NSE),and S100 calcium-binding protein B(S100β)in both groups were decreased compared with those at admission(all P<0.05).The NIHSS scores,serum NSE,and S100βlevels in the observation group were lower than those in the control group at discharge(all P<0.05).Conclusion The implementation of target management rescue in AIS patients can effectively improve the emergency treatment efficacy and treatment eligibility,and reduce the neurological impairment.
作者
朱晶
陈惠强
段艳晓
ZHU Jing;CHEN Huiqiang;DUAN Yanxiao(Department of Emergency,Fuzhou Second Hospital,Fuzhou,Fujian,350007,China)
出处
《中西医结合护理（中英文）》
2022年第11期38-41,共4页
Journal of Clinical Nursing in Practice
基金
福建省科技创新平台项目(2020Y2014)。
关键词
急性缺血性脑卒中
目标管理救护
急诊救治效能
救治合格
acute ischemic stroke
target management rescue
emergency treatment efficacy
treatment eligibility
