Application and effect evaluation of optimizing emergency green channel in patients with acute cerebral infarction / 中国实用护理杂志

ABSTRACT

Objective@#To explore the effect of optimizing the green channel intravenous thrombolysis process and nursing intervention in the treatment of acute cerebral infarction.@*Methods@#Forty-five patients with acute cerebral infarction admitted to emergency department of Beijing Tiantan Hospital Affiliated to Capital Medical University in 2018 were selected as observation group, and 45 patients with cerebral infarction admitted in 2017 were selected as control group, and treated with traditional process and nursing intervention. Door to needle time (DNT), hospitalization time, Emergency bed turnover rate and National Institute of Health Stroke Scale (NIHSS) scores before and after thrombolysis were compared between the two groups.@*Results@#The DNT time, hospitalization time and emergency bed turnover rate in the control group were (82.82±9.73) min, (11.31±2.96) days and 22.07(1 280/58), respectively, while those in the observation group were (37.62±8.40) min, (7.33±1.16) days and 31.93(1 852/58), respectively. There were significant differences between the two groups (t=25.526, 8.926, χ2=10.526, P < 0.01 or 0.05). There was no significant difference in NIHSS scores between the two groups at admission (P > 0.05); the NIHSS score of the observation group at discharge was 3.13±2.00, which was significantly lower than that of the control group (7.33 ± 1.95), and the difference was statistically significant (t=8.469, P < 0.05).@*Conclusion@#The cure rate of patients with acute cerebral infarction is closely related to the timeliness of treatment. The establishment of fast green channel can not miss the best opportunity for patients, but also help to promote the recovery of nerve function, so as to achieve the effect of improving the cure rate of patients.