院前与院内急救一体化模式在急性脑梗死患者急诊急救中的应用效果

发布时间：2018-09-10 14:46

【摘要】：目的探讨院前与院内急救一体化模式在急性脑梗死患者急诊急救中的应用效果。方法选取2013年7月—2015年7月在武汉市武昌医院进行急救的急性脑梗死患者66例,根据急诊急救方式分为观察组32例和对照组34例。对照组患者由家属护送入院就诊,仅行院内急救;观察组患者采用院前与院内急救一体化模式。比较两组患者抢救结果、院内急救时间及临床疗效。结果观察组患者抢救成功率高于对照组,患者到院→开始静脉溶栓时间、患者到院→动脉置鞘时间、动脉置鞘→闭塞血管再通时间短于对照组,临床疗效优于对照组(P0.05)。结论院前与院内急救一体化模式可有效提高急性脑梗死患者抢救成功率及临床疗效,缩短救治时间。
[Abstract]:Objective to investigate the effect of pre-hospital and in-hospital emergency treatment in emergency treatment of patients with acute cerebral infarction. Methods 66 patients with acute cerebral infarction who were treated in Wuhan Wuchang Hospital from July 2013 to July 2015 were divided into observation group (n = 32) and control group (n = 34). The patients in the control group were escorted by their relatives and only received in-hospital first aid, while the patients in the observation group were treated with the mode of integration of pre-hospital and in-hospital first aid. The results of rescue, the time of first aid in hospital and the clinical effect were compared between the two groups. Results the success rate of rescue in the observation group was higher than that in the control group, the time of venous thrombolysis, the time of the patients entering the hospital artery to place the sheath, the time of recanalization of the occluded artery were shorter than that of the control group, and the clinical curative effect was better than that of the control group (P0.05). Conclusion Pre-hospital and in-hospital first aid integration model can effectively improve the rescue success rate and clinical efficacy of patients with acute cerebral infarction and shorten the treatment time.
【作者单位】：湖北省武汉市武昌医院神经内科二病区;华中科技大学同济医学院同济医院神经内科;武汉市急救中心;
【基金】：湖北省卫计委资助项目(WJ2015MB250) 武汉市卫计委资助项目(WX15C17)
【分类号】：R743.33

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