急诊护理路径在急性脑卒中患者中应用.docVIP

急诊护理路径在急性脑卒中患者中应用 　　[摘要] 目的 探讨急诊护理路径在急性脑卒中患者中的应用。 方法 随机选取该院2012年1月―2015年6月收治的急性脑卒中患者共160例随机分为对照组和观察组，各80例，其中对照组使用普通护理方法，观察组使用急诊护理路径。评价两中不同护理路径治疗后患者相关参数和临床疗效。 结果 观察组患者接诊值确诊时间为（19.28±2.17）min，显著低于对照组患者的（27.64±3.47）min （P0.05）；观察组患者确诊至接受针对性治疗的时间为（25.87±3.64）min，显著低于对照组患者的（40.17±4.89）min （P0.01）。观察组可显著改善患者脑部血流动力学和认知水平，显著提高患者综合功能评分且显著提高患者临床疗效（P0.05）。结论 急诊护理路径疗效能够显著增加急性脑卒中患者治疗效果和临床疗效，值得临床借鉴使用。 　　[关键词] 急性脑卒中；急诊护理路径；临床应用 　　[中图分类号] R5 [文献标识码] A [文章编号] 1674-0742（2016）02（c）-0129-03 　　Application of Emergency Nursing Path in Patients with Acute Stroke 　　CHEN Pan1， WU De-kun2 　　1. Emergency Department， Jining No. 1 People’s Hospital， Jining， Shandong Province， 272100 China； 　　2. CT Room， Jining No. 1 People’s Hospital， Jining， Shandong Province， 272100 China 　　[Abstract] Objective To explore the application of emergency nursing path in patients with acute stroke. Methods 160 patients with acute stroke admitted in our hospital from January 2012 to June 2015 were selected and randomly assigned to the control group and the observation group with 80 patients in each. The general duty nursing was given to the control group， and the emergency nursing path was given to the observation group. And the values of related parameters and clinical efficacy in these two groups were evaluated. Results The time from admission to confirmed diagnosis time was much shorter in the observation group than that in the control group [（19.28 ± 2.17） min vs （27.64 ± 3.47） min] （P0.05）. The time from confirmed diagnosis to receive targeted treatment time was significantly shorter in the observation group than that in the control group [（25.87 ± 3.64） min vs （40.17 ± 4.89） min] （P0.01）. Compared to the control group， the cerebral blood dynamics， the level of cognitive function， the FCA scores and the clinical efficacy improved more significantly in the observation group （P0.05）. Conclusion Emergency nursing path can significantly improve the treatment effect and clinical efficacy in patients with a