院前急救在急性缺血性脑卒中患者救治中的临床价值OA
The clinical value of prehospital emergency care in the treatment of patients with acute ischemic stroke
目的 研究院前急救在急性缺血性脑卒中患者救治中的临床价值.方法 随机抽取2023年1月至2023年12月天津市急救中心与天津市第四中心医院合作救治的急性缺血性卒中患者与自行入院的急性缺血性卒中患者各5 0例,按来源分为院前组与常规组,比较两组患者救治时间及治疗效果的差异.结果 院前组患者发病至入院时间为(77.58±55.86)min,短于常规组的(104.7±53.01)min;院前组的发病至开始溶栓时间(129.34±57.41)min也远短于常规组的(163.72±53.00)min,差异均有统计学意义(P<0.05),院前组溶栓7日后与入院评估时NIHSS评分改善情况大于与常规组,差异有统计学意义(P<0.05).结论 本研究证实院前急救运用到急性缺血性脑卒中的救治过程当中可以减少院前延误时间,从而减少致死率和致残率的产生,具有重要的临床价值.
Objective To investigate the clinical value of prehospital emergency care in the treatment of patients with acute is-chemic stroke.Methods A total of 50 patients with acute ischemic stroke treated by the cooperation between Tianjin Emergency Center and Tianjin Fourth Central Hospital from January 2023 to December 2023,and another 50 patients with acute ischemic stroke who were admitted to the hospital by themselves,were selected and divided into the prehospital group and the conventional group.The differences in treatment time and therapeutic effect between the two groups were compared.Results The time from onset to admis-sion in the prehospital group was(77.58±55.86)min,which was shorter than that in the conventional group[(104.7±53.01)min];the time from onset to the start of thrombolysis in the prehospital group[(129.34±57.41)min]was also much shorter than that in the conventional group[(163.72±53.00)min],and the differences were statistically significant(P<0.05).The improve-ment in the NIHSS score at 7 days after thrombolysis compared with that at the time of admission assessment in the prehospital group was greater than that in the conventional group,and the difference was statistically significant(P<0.05).Conclusion This study confirms that the application of prehospital emergency care in the treatment process of acute ischemic stroke can reduce prehospital delay time,thus reducing the incidence of mortality and disability,and it has important clinical value.
贾瑞璇
天津市急救中心五分部 300100
急性缺血性脑卒中院前急救院前延误
acute ischemic strokeprehospital emergency careprehospital delay
《中国老年保健医学》 2026 (2)
32-35,4
天津市急救中心科技项目(项目编号:TJJJ2023QN02)
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