| 陈雅秀1，范炎其2▲.急诊脑卒中绿色通道应用在急性缺血性卒中患者救治时间和抢救效果的影响[J].中国医药科学,2023,(20):109-112 基金项目: |
| 急诊脑卒中绿色通道应用在急性缺血性卒中患者救治时间和抢救效果的影响 |
| The impact of emergency stroke green channel application on the treatment time and rescue effect of acute ischemic stroke patients |
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| DOI： |
| 中文关键词: 急性缺血性卒中；绿色通道；救治时间；抢救效果；神经功能；并发症；家属满意度 |
| 英文关键词:Acute ischemic stroke; Green channel; Treatment time; Rescue effect; Neurological function; Complications; Family satisfaction |
| 作者 | 单位 | | 陈雅秀1，范炎其2▲ | 1.厦门大学附属第一医院急诊科，福建厦门 361100；2.厦门大学附属中山医院重症医学科，福建厦门 361000 |
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| 中文摘要: |
| [摘要] 目的 探讨急诊脑卒中绿色通道在急性缺血性卒中（AIS）患者中的应用效果。 方法 回顾性分析厦门大学附属第一医院急诊科2020年6月至2022年6月收治的134例AIS患者的临床资料，依照急诊护理方式不同分为两组，对照组67例采取常规急诊护理流程，观察组67例采取急诊脑卒中绿色通道。比较两组救治时间、抢救效果、神经功能、并发症、生活质量和家属满意度。 结果 观察组各项救治时间均短于对照组，差异有统计学意义（P < 0.05）。观察组致残率、复发率分别为1.49%（1/67）、2.99%（2/67），均低于对照组的11.94%（8/67）、13.43%（9/67），差异有统计学意义（P < 0.05）。两组干预前美国国立卫生研究院卒中量表（NIHSS）、健康调查简表（SF-36）评分比较，差异无统计学意义（P > 0.05）；干预后两组NIHSS评分低于干预前，SF-36评分比干预前高，且观察组NIHSS评分较低，SF-36评分较高，差异有统计学意义（P < 0.05）。观察组神经系统损伤、呼吸道阻塞等并发症总发生率低于对照组，差异有统计学意义（P < 0.05）。观察组家属满意度中护患沟通、急救处理、服务态度、医疗环境评分高于对照组，差异有统计学意义（P < 0.05）。 结论 AIS患者接受急诊脑卒中绿色通道干预，能够缩短患者救治时间，有助于提高患者抢救效果，改善其神经功能，减少并发症发生，改善预后，从而提升家属满意度。 |
| 英文摘要: |
| [Abstract] Objective To explore the application effect of emergency stroke green channel in patients with acute ischemic stroke (AIS). Methods The clinical data of 134 AIS patients admitted to the emergency department of the First Affiliated Hospital of Xiamen University from June 2020 to June 2022 were retrospectively analyzed. According to the different emergency nursing methods, they were divided into two groups: the control group (67 cases) adopted the routine emergency nursing process, and the observation group (67 cases) adopted the emergency stroke green channel. The treatment time, rescue effect, neurological function, complications, quality of life, and family satisfaction between the two groups were compared. Results The treatment time of the observation group was shorter than that of the control group, with a statistically significant difference (P < 0.05). The disability rate and recurrence rate of the observation group were 1.49% (1/67) and 2.99% (2/67), respectively, which were lower than the 11.94% (8/67) and 13.43% (9/67) of the control group, with statistically significant differences (P < 0.05). There was no statistically significant difference in the scores of the National Institute of Health Stroke Scale (NIHSS) and the MOS item short form health survey (SF-36) scores between the two groups before intervention (P > 0.05). After intervention, the NIHSS score of the two groups was lower than before intervention, and the SF-36 score was higher than before intervention. In addition, the NIHSS score of the observation group was lower, and the SF-36 score was higher, with statistically significant differences (P < 0.05). The incidence of complications such as neurological injury and respiratory obstruction in the observation group was lower than that in the control group, with a statistically significant difference (P < 0.05). The satisfaction scores of nursing patient communication,emergency treatment, service attitude, and medical environment in the observation group were higher than those in the control group, with statistically significant differences (P < 0.05). Conclusion AIS patients receiving emergency stroke green channel intervention can shorten their treatment time, improve their neurological function, reduce complications, improve prognosis, and ultimately increase family satisfaction. |
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