院前急救护理路径在脑卒中患者院前急救中的效果评价

吴丹　朱雪理

[摘要]目的 探讨院前急救护理路径在脑卒中患者院前急救中的效果。方法 选择2015年1月～2016年12月由120送至我院急诊科进行治疗的脑卒中患者130例作为研究对象，利用简单抽样法分为观察组和对照组，各65例。对照组采用常规急救护理，实验组在对照组基础上采用院前急救护理路径。比较两组患者从呼救120到进行院前急救的时间、院前急救到至急诊科进行治疗的时间、患者的死亡率和致残率的比较。结果 实验组患者从呼救120到进行院前急救的时间、院前急救到至急诊科进行治疗的时间短于对照组，且死亡率和致残率低于对照组，差异有统计学意义（P<0.05）。结论 实施院前急救护理路径可以提高脑卒中患者的生存质量，争取更多的抢救黄金时间。

[关键词]护理路径；脑卒中；院前急救

[中图分类号] R472.2 [文献标识码] A [文章编号] 1674-4721（2017）05（a）-0192-03

[Abstract]Objective To evaluate the efficacy of pre-hospital emergency nursing pathways on pre-hospital emergency in stroke patients.Methods 130 cases of stroke patients who were treated by 120 in our hospital from January 2015 to December 2016 were selected as the subjectsand were divided into the experiment group and the control group by simple sampling method，with 65 cases in each group.Patients in the control group were given conventional emergency care，while patients in the experiment group were given pre-hospital emergency nursing pathways on the basis of the control group.The time from the call for 120 to pre-hospital emergency and from pre-hospital emergency to the emergency department for treatment，the mortality and morbidity of patients were conpared between two groups.Results The time from the call for 120 to pre-hospital emergency and from pre-hospital emergency to the emergency department for treatment in the experiment group were shorter than those in the control group，the mortality and morbidity of patients were lower than those in the control group，and the differences were statistically significant （P<0.05）.Conclusion The implementation of pre-hospital emergency care pathways can improve the quality of life of stroke patients，and strive for more rescue gold time.

[Key words]Nursing pathways；Stroke；Pre-hospital emergency nursing

腦卒中是一种急性脑血管疾病，发病速度及病情变化都比较急[1]，全球范围内，每21秒约有1人死于脑卒中[2]，目前已成为我国成年人致残的首要因素[3]。治疗脑卒中的时间窗在6～8 h，相对较短[4]，其中，缺血性脑卒中患者治疗时间窗更短，仅为3～6 h[5]。大部分脑卒中患者于居家时发病[6]，因此，院前急救对脑卒中患者意义重大，不及时的就医可导致脑细胞坏死引起患者死亡[7]。现我院为了使脑卒中患者得到更好的治疗，争取更多的抢救时间，采取了院前急救护理路径，取得良好效果，现报道如下。

1资料与方法

1.1一般资料

选择2015年1月～2016年12月由120送至我院急诊科进行治疗的脑卒中患者130例作为研究对象，用简单抽样法将入选的研究对象分为实验组和对照组，各65例。……