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急诊脑卒中识别评分量表在院前急救中的应用效果观察

ISSN号：2095-0616
期刊名称：《中国医药科学》
时间：0
分类：R743.3[医药卫生—神经病学与精神病学;医药卫生—临床医学]
作者机构：[1]广东省佛山市中医院急诊科,广东佛山528000
相关基金：广东省科技厅社会发展项目(2014A020212002);广东省佛山市科技局医学类科技攻关项目(2014AB00328、2015AB00354、2015AB00355);广东省佛山市科技创新平台项目(2014AG10002);广东省佛山市重点专科培育项目(Fspy2-2015004);广东省佛山市十三五高水平重点专科建设项目(FSGSSPZD135025).

作者：倪靖怡[1], 罗慧敏[1], 刘杨晖[1], 刘俭葵[1], 李莹莹[1], 李旷怡[1]

关键词：急诊, 脑卒中识别评分量表, 院前急救, 致残率, 死亡率, Emergency, Stroke recognition rating scale, Pre-hospital care, Disability rate, Mortality rate

中文摘要：

目的探讨急诊脑卒中识别评分量表在院前急救中的应用效果情况。方法分析2015年2月～2016年9月我院急诊科收治的脑卒中患者80例临床资料，依据是否实施急诊脑卒中识别评分量表进行分组，对照组40例和观察组40例。观察两组脑卒中患者从呼救至实施院前急救时间、从呼救至接受专业治疗时间、致残率、死亡率及急救前后神经功能缺损评分情况。结果观察组脑卒中患者从呼救至实施院前急救时间（18.2±4.5）min、从呼救至接受专业治疗时间（30.1±6.7）min均低于对照组（22.8±4.0）、（42.7±5.6）min，观察组脑卒中患者致残率32.5%、死亡率5%均低于对照组45%、17.5%，两组脑卒中患者急救前神经功能缺损评分（38.5±3.8）分和（37.7±4.0）分均无明显差异（P＞0.05），对照组和观察组脑卒中患者急救后神经功能缺损评分（33.4±3.2）分和（25.8±2.7）分均低于急救前，观察组脑卒中患者急救后神经功能缺损评分低于对照组，差异有统计学意义（P＜0.05）。结论急诊脑卒中识别评分量表在院前急救中应用，可以提高院前急救的效率，改善患者预后水平，值得临床推广应用。

英文摘要：

Objective To explore application effect of emergency stroke recognition rating scale on pre-hospital care.Methods Clinical data of80patients with stroke who were admitted in department of emergency of our hospital from February2015to September2016were analyzed.They were divided into the control group and the observation group according to the implementation of emergency stroke recognition rating scale,with40in each.Time from calling for help to the implementation of pre-hospital care,time from calling for help to receiving professional treatment,disability rate,mortality rate and neurological deficit scores before and after first-aid.Results Time from calling for help to the implementation of pre-hospital care and time from calling for help to receiving professional treatment of patients with stroke in the observation group were(18.2±4.5)min and(30.1±6.7)min respectively,both lower than those of the control group(22.8±4.0)min and(42.7±5.6)min.Disability rate and mortality rate of patients with stroke in the observation group were respectively32.5%and5%,both lower than those of the control group45%and17.5%.Neurological deficit scores before first-aid of patients in two groups were(38.5±3.8)and(37.7±4.0)respectively and there was no significant difference(P>0.05).Neurological deficit scores after first-aid of patients in the control group and the observation group were(33.4±3.2)and(25.8±2.7)respectively,both lower than those before first-aid.Neurological deficit score after first-aid of patients with stroke in the observation group was lower than that of the control group.The difference was statistically significant(P<0.05).Conclusion Application of emergency stroke recognition rating scale in pre-hospital care can improve efficiency of prehospital care and prognostic level,which is worthy of clinical promotion and application.

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