【摘要】 目的探讨多学科协作诊疗干预在急性缺血性脑卒中患者中的应用效果。方法选取2019年1月1日—2020年6月30日某三级甲等医院介入手术室治疗的68例急性缺血性脑卒中患者,在多学科协作诊疗干预前后时间段分别取样分组,对照组33例和观察组35例;对照组实施常规措施,观察组在此基础上实施多学科协作诊疗干预;观察比较2组患者入院-溶栓时间、入院-股动脉穿刺时间、转诊时间和待手术时间;术后2组患者的致死率、致残率、神经功能损伤评分及患者就诊满意度。结果观察组患者的入院-溶栓时间、入院-股动脉穿刺时间、转诊时间和待手术时间均短于对照组(P<0.001);观察组患者的致残率和神经功能缺损评分均低于对照组(P<0.05),2组患者致死率差异无统计学意义(P>0.05);除医疗环境外,观察组对医护服务态度、团队业务能力、护理应急能力及主动性、沟通交流、健康教育和患者需求方面的评分均高于对照组(P<0.001)。结论对急诊介入手术脑卒中患者实施基于多学科协作诊疗干预,可提高抢救患者的工作效率,改善患者临床救治结局,提高患者就诊满意度。更多还原

【Abstract】 Objective To explore the effect of multidisciplinary diagnosis and treatment(MDT) on the treatment of stent thrombectomy in patients with acute ischemic stroke. Methods Retrospective analysis was performed on 68 patients with acute ischemic stroke who were treated in the interventional operation room in one tertiary grade A hospital from January 1, 2019 to June 30, 2020. They were divided into control group(n=33) and observation group(n=35). The control group received traditional conventional nursing intervention, and the observation group nursing intervention based on MDT. Door to needle time(DNT), door to puncture time(DPT),referral time and operative waiting time were compared between the two groups; postoperative mortality rate, disability rate, national institutes of health stroke scale(NIHSS score) and the satisfaction of patients in the two groups were compared. Results DNT, DPT,referral time and operative time in the observation group were significantly shorter than those in the control group( P<0.001). The disability rate and NIHSS score in the observation group were lower than those in the control group( P <0.05), and there was no significant difference in the mortality rate between the two groups(P>0.05). In addition to the score of medical environment, the score of medical service attitude, team business ability, nursing emergency ability and initiative, communication, health education and patient needs in the observation group were significantly higher than those in the control group( P<0.001). Conclusion MDT for acute ischemic stroke patients can significantly improve the work efficiency and improving the clinical outcome and satisfaction of patients.更多还原