院内一体化急救护理干预对急性缺血性脑卒中静脉溶栓患者预后的影响

目的探讨院内一体化急救护理干预对急性缺血性脑卒中静脉溶栓患者的影响。方法选择2019年1月~2020年1月在我院接受阿替普酶静脉溶栓治疗的190例急性缺血性脑卒中患者作为研究对象,将其分为对照组100例,观察组90例。对照组采用常规护理措施,观察组采用院内一体化急救护理干预措施,观察比较两组患者护理前和护理后第7、14、21 d的中枢损伤程度(SSS)评分、DNT≤60 min比例、DNT≤45 min比例、住院时间<14 d比例、患者满意度以及90天mRS评分情况。结果护理前,两组患者的SSS评分比较,差异无统计学意义(P>0.05);护理后第7、14、21 d,观察组的SSS评分低于对照组(均P<0.05)。观察组护理后的DNT≤60 min比例、DNT≤45 min比例、住院时间<14 d比例以及患者满意度方面均高于对照组(均P<0.05)。经干预后的观察组患者预后良好比例高于对照组,90天的mRS评分低于对照组,差异有统计学意义(均P<0.05)。结论急性缺血性脑卒中静脉溶栓患者采用院内一体化急救护理干预,能有效减轻中枢损伤程度、控制溶栓时间窗、减少住院时长,从而提高了患者满意度,值得临床推广。

Effect of hospital integrated emergency nursing intervention on prognosis of patients with acute ischemic stroke undergoing intravenous thrombolysis

Objective To explore the effect of integrated first aid nursing intervention in hospital on intravenous thrombolytic patients with acute ischemic stroke.Methods From January 2019 to January 2020,190 patients with acute ischemic stroke who received intravenous thrombolysis with atepase in our hospital were selected as the subjects,It was divided into control group and observation group,Control group,100 cases,there were 90 cases in the observation group.Patients with routine care were included in the control group,patients with in-hospital integrated first aid nursing intervention were included in the observation group,the central injury degree(SSS)score,DNT≤60 minutes ratio,DNT≤45 minutes ratio,hospitalization time<14 days ratio,patient satisfaction,90 days mRS score were compared between the two groups.Results Before nursing,there was no significant difference in SSS score between the observation group and the control group(P>0.05);7 d,14 d,21 d,after care the SSS score of the observation group was lower than that of the control group(P<0.05);the proportion of DNT≤60 minutes,DNT≤45 minutes,hospitalization time<14 days and patient satisfaction in the observation group were higher than those in the control group(P<0.05);the prognosis of the observation group was higher than that of the control group,the mRS score of 90 days was lower than that of the control group(P<0.05).Conclusion The application of in-hospital integrated first aid nursing intervention in the nursing care of patients with intravenous thrombolysis in acute ischemic stroke can effectively reduce the degree of central injury,control the time window of thrombolysis,reduce the length of and improve the satisfaction of patients,which is worthy of clinical promotion.