Zhang Ting, Li Xiaolu, Sun Guiguan, Wang Juan, Chen Huimin
Department of Thoracic Surgery, Tianjin First Central Hospital Tianjin 300192, China.
Department of Encephalopathy, Shandong Qingdao Integrated Traditional Chinese and Western Medicine Hospital Qingdao 266000, Shandong, China.
Am J Transl Res. 2021 Oct 15;13(10):11966-11973. eCollection 2021.
To establish the emergency-nursing pathway of interventional thrombectomy on acute ischemic stroke (AIS).
113 AIS patients who received interventional thrombotomy in conventional emergency model from Aug. 2019 to Feb. 2020 were included as control-group, and 127 patients, who underwent interventional thrombotomy by pathway-based emergency nursing program from Mar. 2020 to Sep. 2020, were classified into observation-group. The time points from admission to recanalization of the two groups, the recanalization rate, and the changes in the neurological impairment scale (NIHSS) scores of the two groups in pre- and post-treatment were compared; Meanwhile, the therapeutic efficacy rate between the two groups was evaluated and compared by modified Rankin Score (mRS) 90 days after discharge.
The average time from hospital arrival to femoral artery puncture, the average time of successful femoral artery puncture, and the average time from admission to recanalization in observation-group were remarkably shorter than that of control-group (). The recanalization rate of endovascular therapy in observation-group was 92.13%, which was higher than that in control-group (80.53%, ); The NIHSS score of observation-group after treatment was obviously lower than that of control-group (P<0.05); The curative rate in observation-group was 90.55%, which was higher than that of 79.65% in control group (); The satisfaction of observation-group patients with nursing care was 90.55%, which was higher than that of 73.45% in control-group ().
Establishment of emergency-nursing pathway can reduce the time-consuming from admission to vascular recanalization for AIS patients undergoing interventional thrombectomy, increase the recanalization rate, improve the patients' neurological function, and ameliorate the curative rate and nursing satisfaction.
建立急性缺血性脑卒中（AIS）介入取栓的急诊护理路径。
选取2019年8月至2020年2月采用传统急诊模式接受介入溶栓的113例AIS患者作为对照组，将2020年3月至2020年9月采用基于路径的急诊护理程序接受介入溶栓的127例患者纳入观察组。比较两组从入院到再通的时间点、再通率以及治疗前后两组神经功能缺损量表（NIHSS）评分的变化；同时，在出院90天后采用改良Rankin量表（mRS）评估并比较两组的治疗有效率。
观察组从入院到股动脉穿刺的平均时间、股动脉穿刺成功的平均时间以及从入院到再通的平均时间均明显短于对照组（）。观察组血管内治疗的再通率为92.13%，高于对照组（80.53%，）；观察组治疗后的NIHSS评分明显低于对照组（P<0.05）；观察组的治愈率为90.55%，高于对照组的79.65%（）；观察组患者对护理的满意度为90.55%，高于对照组的73.45%（）。
建立急诊护理路径可缩短AIS介入取栓患者从入院到血管再通的时间，提高再通率，改善患者神经功能，提高治愈率和护理满意度。
