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目的探讨一体化急救护理模式对老年急性脑梗死患者康复效果的影响,为提高患者康复效果提供依据。方法选择由120急救车送至盛京医院治疗的180例急性脑梗死患者为研究对象,因盛京医院2016年2月开展一体化急救护理工作,将2015年1月至2016年1月收治的90例患者作为对照组,将2016年2月至2017年1月收治的90例患者作为一体化护理组,所有患者接诊后均给予控制血压、降脂、营养神经、抗凝、脑细胞活化剂等治疗。对照组以常规的急救护理模式为主;一体化护理组采用一体化急救护理模式。记录两组术前护理时间、溶栓例数、住院时间、存活例数、并发症如肺部感染、多器官功能衰竭、消化道出血、继发性癫痫情况,对比患者出院3个月Barther指数、Fugl-Meyer运动指数评分。用SPSS 17.0软件进行χ~2检验、t检验。结果一体化护理组术前护理时间和住院时间均明显少于对照组,差异均有统计学意义(P<0.01)。一体化护理组溶栓例数(41例)、存活例数(86例)明显高于对照组(分别为27例、68例),差异均有统计学意义(P<0.05)。一体化护理组发生肺部感染、多器官功能衰竭、消化道出血、继发性癫痫的患者均明显少于对照组,差异均有统计学意义(P<0.05)。出院3个月一体化护理组Barther指数、Fugl-Meyer运动指数明显高于对照组,差异均有统计学意义(P<0.01)。结论一体化急救护理模式能够及时、有效治疗急性脑梗死患者,明显改善患者的预后,促进患者康复。
Objective To explore the effect of integrated emergency care on the rehabilitation of elderly patients with acute cerebral infarction and provide evidence for improving the rehabilitation effect of the patients. Methods 180 emergency ambulances were sent to Shengjing Hospital for treatment of 180 patients with acute cerebral infarction as the research object, because Shengjing Hospital in February 2016 to carry out integrated emergency care work, from January 2015 to January 2016 admitted Totally 90 patients served as the control group. Ninety patients admitted from February 2016 to January 2017 were enrolled in the Integrative Care Group. All patients were given blood pressure, lipid-lowering, nutrition nerve, anticoagulation and brain cell activation Agents such as treatment. The control group was dominated by the conventional first aid nursing model; the integrated nursing group used the integrated first aid nursing model. The preoperative nursing time, the number of thrombolytic cases, the length of hospital stay, the number of surviving cases, complications such as pulmonary infection, multiple organ failure, gastrointestinal bleeding and secondary epilepsy were recorded. The Barther index , Fugl-Meyer motor index score. SPSS 17.0 software using χ ~ 2 test, t test. Results The preoperative nursing time and hospitalization time in the integrated nursing group were significantly less than those in the control group, with significant differences (P <0.01). The number of thrombolytic cases (41 cases) and survival cases (86 cases) in the integrated nursing group were significantly higher than those in the control group (27 cases and 68 cases, respectively). The differences were statistically significant (P <0.05). The incidence of pulmonary infection, multiple organ failure, gastrointestinal bleeding and secondary epilepsy in the integrated nursing group were significantly less than those in the control group, with statistical significance (P <0.05). The Barther index and the Fugl-Meyer index of the integrated care group at 3 months after discharge were significantly higher than those of the control group (P <0.01). Conclusion The integrated emergency care model can promptly and effectively treat patients with acute cerebral infarction, significantly improve the prognosis of patients and promote the rehabilitation of patients.