摘要
目的 本研究旨在探讨急诊护理快速通道（ENFT）对急性脑卒中患者救治时间及预后的影响。方法采用前瞻性队列研究设计，将268例急性脑卒中患者分为ENFT组与常规护理组。观察两组的关键救治时间与治疗效果指标。结果 结果显示，ENFT组患者从入院至神经科医生评估时间、入院至CT完成时间以及入院至开始溶栓治疗时间均较常规组明显更短（P<0.05）；NIHSS改善值与90天改良Rankin量表（mRS）评分≤2分的良好功能预后率明显高于常规组（P<0.05）。结论 急诊护理快速通道可有效缩短关键救治时间节点，并在一定程度上改善患者神经功能恢复。
关键词： 脑卒中；急诊护理；快速通道；救治时间；治疗效果
Abstract
Objective This study aims to explore the impact of Emergency Nursing Fast Track (ENFT) on the treatment time and prognosis of patients with acute stroke. Methods A prospective cohort study design was used to divide 268 patients with acute stroke into an ENFT group and a conventional nursing group. Observe the key treatment time and treatment efficacy indicators of the two groups. Results The results showed that the ENFT group had significantly shorter time from admission to neurologist evaluation, from admission to CT completion, and from admission to initiation of thrombolytic therapy compared to the conventional group (P<0.05); The good functional prognosis rate of NIHSS improvement value and 90 day modified Rankin Scale (mRS) score ≤ 2 points was significantly higher than that of the conventional group (P<0.05). Conclusion The emergency nursing fast track can effectively shorten key treatment time nodes and improve patients' neurological function recovery to a certain extent.
Key words： Stroke; Emergency nursing; Express lane; Rescue time; Treatment effect
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