| 曹素雅.颅内血管支架置入术结合无缝隙急救护理对AIS病人疗效及CSS评分、NIHSS评分的影响[J].实用中西医结合临床,2023,23(3): |
| 颅内血管支架置入术结合无缝隙急救护理对AIS病人疗效及CSS评分、NIHSS评分的影响 |
| The Effect of Intracranial Vascular Stent Implantation Combined with Seamless First Aid Nursing on the Therapeutic Eeffect of AIS Patients, CSS Score and NIHSS Score |
| 投稿时间：2022-11-02 修订日期：2022-11-23 |
| DOI： |
| 中文关键词: 急性缺血性脑卒中 颅内血管支架置入术 无缝隙急救 急救效率 神经功能 |
| 英文关键词: acute ischemic stroke rintracranial vascular stent implantation seamless first aid first aid efficiency nerve function |
| 基金项目: |
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| 中文摘要: |
| 目的：探讨颅内血管支架置入术结合无缝隙急救护理对急性缺血性卒中（AIS）病人的治疗效果及其对中国卒中量表评分（CSS）和美国国立卫生院脑卒中量表评分（NIHSS）的影响。方法：挑选116例我院治疗的AIS病人为此次试验的对象，随机分为两组，各58例。所有病人均给予颅内血管支架置入术治疗，对照组同时给予常规急救护理，研究组给予无缝隙急救护理模式。比较两组病人的就诊情况相关指标、治疗方面的效果及治疗前、后CSS以及NIHSS的具体评分改变情况。结果：研究组DTP、DTT、DTI、DTL、入院后行颅内血管支架置入术时间、入院至脑血管再通时间均缩短明显（P＜0.05）；研究组闭塞血管再通率明显高于对照组，手术时间、住院时间均缩短明显（P＜0.05）；研究组预后良好病人比例显著较高，转送意外事件发生率显著较短（P＜0.05）。颅内血管支架置入术后7d两组病人CSS、NIHSS评分较颅内血管支架置入术前均明显降低，且研究组病人较对照组病人低（P＜0.05）。结论：颅内血管支架置入术在AIS病人的治疗中效果确切，且安全性高，结合给予无缝隙急救护理则能明显缩短病人达到医院急诊至颅内血管支架置入术的时间，减少或避免治疗延误，降低转送意外事件发生率，缩短治疗时间和住院时间，进一步改善救治效果。 |
| 英文摘要: |
| Objective：To explore the therapeutic effect of intracranial vascular stent implantation combined with seamless first-aid care on invalids with acute ischemic stroke(AIS)and its influence on the China Stroke Scale Score(CSS)and the NIHSS score.Methods:A total of 116 AIS invalids admitted to our hospital were selected as the research objects and randomly divided into two groups of 58 cases each.All invalids received intracranial vascular stent implantation,the control group’s invalids were given routine first-aid care,while the study group’s were given seamless first-aid care mode.2 groups of invalids"visit related indicators,treatment effect,CSS score and NIHSS score before and after thrombolysiso were compared.Results:In the study group, DTP, DTT, DTI, DTL, the time of intracranial vascular stent implantation after admission, and the time from admission to cerebral vascular recanalization were obvious shortened (P<0.05); The recanalization rate of occluded vessels in the study group was obvious higher than control group, and the operation time and hospital stay were obvious shortened (P<0.05); The proportion of patients with good prognosis in the study group was obvious higher, and the incidence of transfer accidents was obvious shorter (P<0.05). The scores of CSS and NIHSS of patients in 2 groups were obvious lower than before intracranial stent implantation 7 days after intracranial stent implantation, and the patients in the study group were lower than control group (P<0.05).Conclusion:Intracranial vascular stent implantation is effective and safe in the treatment of AIS patients. Combined with seamless emergency care, it can obvious shorten the time from hospital emergency to intracranial vascular stent implantation, reduce or avoid treatment delay, reduce the incidence of transfer accidents, shorten the treatment time and hospitalization time, and further improve the treatment effect. |
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