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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(P<0.05)。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。
Objective To investigate the effect of prehospital and inpatient first aid integration in emergency first aid in patients with acute cerebral infarction. Methods From July 2013 to July 2015, 66 patients with acute cerebral infarction who received emergency treatment in Wuchang Hospital of Wuhan City were divided into observation group (32 cases) and control group (34 cases) according to emergency and first aid methods. Patients in the control group were admitted to hospital for treatment by their families and were hospitalized for first aid only. Patients in the observation group were treated with pre-hospital and hospital-first-aid integration models. Comparing the rescue results of two groups of patients, hospital emergency time and clinical efficacy. Results The success rate of salvage in observation group was higher than that of control group. The time from hospitalization to initiation of intravenous thrombolysis, the time from hospitalization to hospitalization of arterial sheath, arterial sheath sheathing to occlusion vascular closure was shorter than that of control group, and the clinical efficacy was better than that of control group Group (P <0.05). Conclusion The pre-hospital and intra-hospital first aid integration model can effectively improve the rescue success rate and clinical efficacy of patients with acute cerebral infarction, shorten the treatment time.