[1]严宝剑,崔文帅.脑卒中独立急救模式对急性缺血性脑卒中治疗效果及预后的影响[J].新乡医学院学报,2021,38(4):361-364.[doi:10.7683/xxyxyxb.2021.04.014]
　YAN Baojian,CUI Wenshuai.Clinical study on the effect of independent emergency mode of stroke on the treatment effect and prognosis of acute stroke[J].Journal of Xinxiang Medical University,2021,38(4):361-364.[doi:10.7683/xxyxyxb.2021.04.014]
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脑卒中独立急救模式对急性缺血性脑卒中治疗效果及预后的影响
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《新乡医学院学报》[ISSN:1004-7239/CN:41-1186/R]

卷:
38
期数:
2021年4
页码:
361-364
栏目:
临床研究
出版日期:
2021-04-05

文章信息/Info

Title:
Clinical study on the effect of independent emergency mode of stroke on the treatment effect and prognosis of acute stroke
作者:
严宝剑; 崔文帅
（河南中医药大学第一附属医院急诊科，河南　郑州　450008）
Author(s):
YAN Baojian; CUI Wenshuai
(Department of Emergency,the First Affiliated Hospital of Henan University of Traditional Chinese Medicine，Zhengzhou 450000,Henan Province,China)
关键词:
独立急救模式; 急救团队; 缺血性脑卒中
Keywords:
independent emergency mode emergency team ischemic stroke
分类号:
R743
DOI:
10.7683/xxyxyxb.2021.04.014
文献标志码:
A
摘要:
目的　探讨脑卒中独立急救模式在急性缺血性脑卒中（AIS）抢救中的应用效果。方法　选择2018年6月至2020年6月河南中医药大学第一附属医院急诊科收治的接受重组纤溶酶原激活剂静脉内溶栓治疗的202例AIS患者为观察对象，其中2018 年6 月至2019年6 月采用常规AIS急救模式收治的118例患者为对照组，2019年7月至2020年6月采用脑卒中独立急救模式收治的84例患者为观察组。比较2组患者从接诊到确诊时间、入院至溶栓时间（DNT）、住院时间、格拉斯哥预后评分（GOS）、Fugl-meyer运动功能评分、生活质量（QOL）及患者对医疗服务的满意度。结果　与对照组比较，观察组患者的确诊时间、DNT、住院时间均显著缩短（P＜0.05）。溶栓24 h后，对照组患者有效67例（56.77%），观察组患者有效59例（70.23%）；溶栓7 d后，对照组患者有效51例（43.22%），观察组患者有效55例（65.47%）；溶栓3个月后，对照组患者预后良好31例（26.27%），观察组患者预后良好35例（41.67%）；观察组患者溶栓24 h、7 d有效率及溶栓3个月预后良好率均显著高于对照组（χ2=1.237、0.695、0.926，P＜0.05）。与对照组比较，观察组患者溶栓3个月后GOS评分、Fugl-meyer评分、QOL评分及患者满意度均显著升高（P＜0.05）。结论　脑卒中独立急救模式可显著缩短各环节救治时间及患者收治入院至执行溶栓的时间间隔，提高AIS患者救治效果，改善AIS患者预后，提高患者及家属对急救服务的满意度，是一种多科协同合作、规范高效的急救模式。
Abstract:
Objective　To explore the application effect of independent emergency mode of stroke in the rescue of patients with acute ischemic stroke（AIS）.Methods　　A total of 202 patients with AIS who received intravenous thrombolysis with recombinant tissue plasmmogen activator in the Department of Emergency,the First Affiliated Hospital of Henan University of Traditional Chinese Medicine from June 2018 to June 2020 were selected as observation subjects,and among them,118 patients who were treated with conventional emergency mode of AIS from June 2018 to June 2019 were classfied as the control group,and 84 patients who were treated with independent emergency mode of stroke from July 2019 to June 2020 were classfied as the observation group.The time from reception to diagnosis,door to needle time(DNT),hospitalization time,Glasgow Outcome Scale (GOS) score,Fugl-Meyer motor function score,quality of life (QOL) and patients′ satisfaction with medical services were compared between the two groups.Results　Compared with the control group,the time from reception to diagnosis,DNT and hospitalization time of patients in the observation group were significantly shortened (P<0.05).After 24 hours of thrombolysis,67 patients (56.77%) in the control group were effective,59 patients (70.23%) in the observation group were effective.After 7 days of thrombolysis,51 patients (43.22%) in the control group were effective,55 patients (65.47%) in the observation group were effective.After 3 months of thrombolysis,31 cases (26.27%) in the control group had good prognosis and 35 cases (41.67%) in the observation group had good prognosis.The effective rate of thrombolysis at 24 h and 7 d after thrombolysis and the rate of good prognosis at 3 months after thrombolysis in observation group were significantly higher than those in the control group（χ2= 1.237,0.695,0.926;P＜0.05）.Compared with the control group,the GOS score,Fugl-Meyer score,QOL score and patients′ satisfaction in the observation group were significantly increased at 3 months after thrombolysis (P<0.05).Conclusion　The independent emergency mode of stroke can significantly shorten the treatment time of each link and the time interval between admission to hospital and the implementation of thrombolysis,increase the therapeutic effect of AIS patients,improve the prognosis of AIS patients and the satisfaction of patients and their families with emergency services.It is a standardized and efficient emergency treatment mode of multi-discipline cooperation.

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更新日期/Last Update: 2021-04-05