简介:摘要:目的:探讨在对急性脑梗塞患者进行静脉溶栓时围溶栓期的护理工作。方法:将2017年6月至2019年10月作为研究时段,将该时段内我院中录入的56例脑梗塞患者作为实验对象,对所有患者进行资料统计后,按照随机均分法将其分为两组,单组样本量设置为28,同时按照实验习惯命名为对照组与实验组。对照组患者选择常规护理实验组患者则选择急诊护理流程方案。对两组患者的生活质量以及肢体能力进行评价。结果:实验组患者在完成护理操作后,肢体功能、语言功能、生活能力各项评分相较于对照组来说明显更优(P<0.05)。结论:在对溶栓患者进行护理配合时,将急诊护理流程应用于其中,则能够有助于提升患者的治疗效果,使患者的病情得到进一步的护理,具有较高的可应用价值,值得推广。
简介: 【摘 要】目的:探讨在对急性脑梗塞患者急救中开展急诊护理流程的应用效果。方法: 于本院 2019年 4月 -2020年 2月急救中心收治的急性脑梗塞患者中,随机选取 54例作为研究对象,根据急诊护理流程上存在的差异,将其分组展开实验。按照以往的常规急诊护理流程,医护人员有序开展各项护理工作,护理对象共 27例,将其归为对照组。通过对以往的急诊护理工作的实施情况进行分析,总结经验、吸取教训,在原有急诊护理流程的基础上进行优化,并实践于观察组患者。结果:从两组患者的急救总时间、急救分诊耗时、 MESSS评分等各项观察指标的比较上来看,观察组患者的急诊护理效果更好,组间差异具有统计学意义( P<0.05)。结论:为了让急性脑梗塞患者得到及时的抢救,应不断对急诊护理流程进行优化,在急救过程中,做到分工明确,使用规范性的操作,快速完成各项急救工作,提高急诊护理工作的质量和效率。 【关键词】急性脑梗塞患者 ;急诊护理流程 ;优化 ;效果 [Abstract] Objective: To explore the application effect of emergency nursing process in the emergency treatment of patients with acute cerebral infarction. Methods: 54 patients with acute cerebral infarction admitted to the emergency center of our hospital from April 2019 to February 2020 were randomly selected as the research objects. According to the differences in emergency nursing process, they were divided into groups to carry out the experiment. According to the routine nursing process, 27 cases were divided into the control group and the control group. Through the analysis of the implementation of the previous emergency nursing work, summarize the experience, draw lessons, optimize the original emergency nursing process, and practice in the observation group patients. Results: from the comparison of the total emergency time, emergency triage time, mESSS score and other observation indexes of the two groups, the emergency nursing effect of the observation group was better, and the difference between the two groups was statistically significant (P < 0.05). Conclusion: in order to make the patients with acute cerebral infarction get timely rescue, we should constantly optimize the emergency nursing process. In the first aid process, we should do a clear division of labor, use standardized operation, quickly complete all emergency work, and improve the quality and efficiency of emergency nursing work.
简介:【摘要】目的: 分析急性脑梗塞 CT 诊断与 MRI 诊断的 临床应用 价值 。 方法: 选取 2019 年 2 月 ~2020 年 2 月于我院进行检查治疗的急性脑梗塞 患者 70 例,所有患者入院后立即进行 MRI 和头颅 CT 检查。 对比两种方法在不同时间段的诊断结果及两种方法对于不同类型脑梗塞的检出率。 结果: 在 12h 内、 24~48hMRI 的诊断结果均显著优于 CT ( P< 0.05),而超过 12h 后以及 12~24h 两种方法的诊断结果无显著差异 ( P> 0.05)。 对于不同类型脑梗塞的检查, MRI 的检出率显著优于 CT ( P< 0.05)。 结论: 在急性脑梗塞中 MRI 的诊断准确性相较于 CT 明显更高,有重要的临床价值,值得广泛推广使用。
简介:摘要:目的:对急性心肌梗死合并心衰患者接受临床护理干预的效果进行研究分析。 方法:我院对 60例急性心肌梗死合并心力衰竭患者进行研究分析,对患者的临床资料进行了回顾分析,比较分析患者护理前后的身体以及心理状态变化情况。 结果:对两组结果进行比较,护理后患者的心里指标比护理前均有所改善,医院使用护理干预措施能够对患者的心理状态起到积极的影响;护理前患者的护理满意度是 70%,护理后患者的满意度是 90%,护理前后的护理满意度存在统计学差异性, P<0.05,结果存在统计学意义。 结论:急性心肌梗死合并心衰患者接受护理干预能够让患者的症状缓解,发挥积极作用,临床中值得推广使用。 关键词:急性心肌梗死;心力衰竭;护理干预 Abstract: Objective: To study the effect of clinical nursing intervention on patients with acute myocardial infarction and heart failure. Methods: 60 patients with acute myocardial infarction and heart failure were studied and analyzed in our hospital. The clinical data of the patients were reviewed and compared before and after nursing. Results: compared with the results of the two groups, the psychological indicators of the patients after nursing were improved compared with those before nursing, and the use of nursing intervention measures in hospitals could have a positive impact on the psychological state of the patients; the satisfaction of the patients before nursing was 70%, the satisfaction of the patients after nursing was 90%, the satisfaction of the patients before and after nursing was statistically different, P < 0.05, the results were statistically significant Significance. Conclusion: nursing intervention for patients with acute myocardial infarction and heart failure can alleviate the symptoms of patients and play a positive role. It is worth popularizing in clinical practice.
简介:【摘要】 目的 研究对急性脑梗塞患者给予川穹嗪注射液治疗的临床效果。方法 于本院收治的急性脑梗塞患者中选取 200例,时间选为 2019年 5月 ~2020年 5月。使用抽签法分为两组,各 100例,选用丹参注射液治疗为对照组,选用川穹嗪注射液治疗为实验组,对两组治疗后临床效果进行对比。结果 与对照组相比,实验组总有效率较高( P< 0.05);治疗前两组 ADL评分对比无差异( P>0.05);治疗后实验组评分低于对照组( P< 0.05)。结论 对急性脑梗塞患者给予川穹嗪注射液治疗疗效更佳,可提升治疗效果,促进治疗进展,进而改善预后,提升患者生活质量,值得借鉴。
简介:【摘要】目的:分析磁共振弥散加权成像对急性脑梗塞的诊断价值。方法:将2018年1月至2019年1月在本院实施诊治的74例急性脑梗塞患者视为调查对象,结合患者住院顺序划入常规组与实验组(n=37)。常规组实施常规MR检查,实验组应用磁共振弥散加权成像检查,比较两组患者的检出率及影像学特点。结果:常规组患者的检出率为80.64%,实验组为97.22%,差值比较具备统计学意义(P<0.05)。磁共振弥散加权成像检查中发病
简介: 摘要:目的 针对急性脑梗塞住院患者展开临床护理研究,了解舒适护理的运用效果。方法 选取我院近 2年内收治的此类患者共 60例,将其随机分为对照组及观察组。对照组采用常规护理模式,观察组采用舒适护理模式。对比两种护理模式在预后效果上的差异性。结果 采用舒适护理的观察组中未出现并发症情况,护理总有效率达到了 100%;而采用常规护理的对照组有 3例出现并发症或发病情况,护理总有效率仅为 90%。两组患者在护理效果上呈显著性差异( P<0.05)。结论 舒适护理能够针对患者住院期间可能出现的不良反应或并发症达到干预效果,提升预后有效性。 关键词:急性脑梗塞;预后;舒适护理 Abstract: objective to carry out clinical nursing research on hospitalized patients with acute cerebral infarction and understand the application effect of comfortable nursing. Methods 60 cases of such patients in our hospital in recent 2 years were randomly divided into control group and observation group. The control group was given conventional nursing mode, and the observation group was given comfortable nursing mode. To compare the difference of the two nursing modes in the prognosis. Results there were no complications in the observation group with comfortable nursing, and the total effective rate of nursing was 100%; while in the control group, there were 3 cases of complications or morbidity in the control group, and the total effective rate of nursing was only 90%. There was significant difference in nursing effect between the two groups (P < 0.05). Conclusion comfortable nursing can achieve the intervention effect for the possible adverse reactions or complications during hospitalization, and improve the effectiveness of prognosis.
简介:摘要目的探讨急性心肌梗死(AMI)患者心理弹性特征及其对急性应激障碍的影响。方法2018年1~12月应用一般资料量表、心理弹性量表(CD-RISC)、急性应激反应问卷(SASRQ)对84例AMI患者进行调查,采用Pearson单因素分析AMI患者心理弹性评分与急性应激障碍的关系,采用Logistic多因素分析影响AMI患者急性应激障碍的危险因素。结果经Pearson单因素分析可知,AMI患者心理弹性总评分、乐观和坚韧与控制与急性应激障碍总评分、创伤事件回避呈负相关,差异有统计学意义(P<0.05)。经Logistic多因素分析可知,年龄、学历、心功能Killip分级是AMI患者急性应激障碍的危险因素,差异有统计学意义(P<0.05),心理弹性是AMI患者急性应激障碍发生的保护因素,差异有统计学意义(P<0.05)。结论AMI患者应激障碍的发生与年龄、学历、心功能Killip分级、多支病变、心理弹性有密切的关系,临床护士可通过加强患者健康宣教,增强患者心理弹性,从而减轻患者应激障碍。