黄慧芝

[摘要]目的 探讨院前急救护理路径对脑卒中（CVA）患者的应用效果。方法 选取2016年5月～2017年5月到我院就诊的150例CVA患者作为研究对象，采用信封法将其分为两组，每组各75例。常规组采用传统护理模式，实验组采用院前急救护理路径进行干预，比较两组的急救时间、死亡率、致残率。结果 实验组呼救至院前急救时间[（17.78±8.36）min]、呼救至院内治疗时间[（31.98±10.25）min]均明显短于常规组，分别为（26.35±7.56）、（43.25±11.68）min，差异有统计学意义（P<0.05）；实验组死亡率与致残率分别为5.33%与40.00%，均明顯低于常规组（16.00%、68.00%），差异有统计学意义（P<0.05）。结论 对CVA患者采取院前急救护理路径，便于缩短急救的时间，降低致残率与死亡率。

[关键词]脑卒中；院前急救；护理路径

[中图分类号] R473.74 [文献标识码] A [文章编号] 1674-4721（2018）9（c）-0213-03

Effect of pre-hospital emergency nursing route in pre-hospital emergency treatment for stroke patients

HUANG Hui-zhi

Emergency Rescue Center of Yichun City， Jiangxi Province， Yichun 336000， China

[Abstract] Objective To explore the application effect of pre-hospital emergency nursing route on stroke patients. Methods A total of 150 stroke patients from May 2016 to May 2017 admitted into our emergency rescue center were selected as study subjects. They were divided into two groups by envelope randomization， 75 cases in each group. In conventional group， the traditional nursing model was used， while in the experimental group， pre-hospital emergency nursing route as an intervention was adopted. The emergency time， mortality， and disability rate between the two groups were compared. Results In the experimental group， time to call for help to pre-hospital emergency rescue and time to call for help to treatment in hospital were （17.78±8.36） min and （31.98±10.25） min， which were significantly shorter than those of the conventional group （[26.35±7.56] min and [43.25±11.68]） min respectively， which were displayed statistical significance （P<0.05）. The mortality and disability rate in the experimental group were 5.33% and 40.00%， which were much lower than those in the conventional group， accounting for 16.00% and 68.00% respectively with statistical significance（P<0.05）. Conclusion For stroke patients， pre-hospital emergency care route is beneficial to shortening rescue time and reducing the disability and mortality.

[Key words] Stroke； Pre-hospital rescue； Nursing route

引发脑卒中（CVA）的因素多种多样，包括血管破裂、血管阻塞等，引发患者脑部血液循环活动出现障碍，导致缺失了局部脑部的神经功能[1-2]。近些年来随着我国CVA患病率的不断递增，获得了医学工作者的高度关注，许多患者一旦患病会出现残疾，导致患者的身体健康受到了严重的威胁。具有发病急、病情变化迅速、病情严重等特点，加强患者院前急救护理措施的意义重大，能帮助患者及时挽回生命，将急救的效率提高[3-4]。以往临床上通常给予常规护理方案，可达到一定的效果，但仍然存在较高的致残率与病死率。本研究对我院收治CVA患者，分别给予不同的方案进行护理指导，现报道如下。

1资料与方法

1.1一般资料

选取2016年5月～2017年5月到我院紧急救援中心就诊的150例CVA患者作为研究对象，所有患者的疾病均获得了明确的诊断，本研究经相关医学伦理委员会批准，参与研究者均知情同意。纳入标准：①存在口眼歪斜、不省人事、半身不遂、猝然昏扑等临床症状；……