临床护理路径在急性脑梗死实施超早期静脉溶栓中的意义

目的探讨急性脑梗死实施超早期静脉溶栓的效果及临床护理路径的意义。方法选择68例患者实施临床护理路径干预，并与70例实施常规护理的患者进行比较，观察两组静脉通道开放时间、溶栓药物应用时间以及总住院时间，并采用BarthelIndex（BI）评分方法分析两组治疗效果。结果观察组静脉通道开放时间、溶栓药物应用时间以及总住院时间短于对照组（P〈0．05），观察组日常生活活动能力BI评分为100分的比例显著高于对照组（P〈0．05），并且21—60分和0—20分两个档次评分的比例显著低于对照组（P〈0．05）。结论在临床护理路径中实施超早期的溶栓处理，加强了护士与医生、急性脑硬死患者问的沟通，有利于抓住治疗最佳时间。

The meaning of clinical nursing path for the implementation of ultra early intravenous thrombolysis for acute cerebral infarction

Objective To explore the effect of ultra early intravenous thrombolysis for acute cerebral infarction and the meaning of clinical nursing path. Methods Sixty-eight cases of patients were intervened by the use of clinical nursing path, and 70 cases of patients were used routine patient care, then the venous channel open time, thrombolytic drugs application time and total hospitalization time were compared between the two groups, and the treatment effect of the two groups were analyzed by Barthel Index （BI） score. Results In observation group, the venous channel open time, thrombolytic drug application time and the total hospitalization time were shorter than that of control group （P 〈 0.05）, the proportion of BI score in 100 points was higher than that of control group （P 〈 0.05）, and the proportion of two grade （21 -60 points and 0-20 points） were lower than that of control group （P 〈 0.05）. Conclusion The implementation of ultra early thrombolytic treatment in clinical nursing pathway can strength the relationship of nurses with doctors and acute cerebral infarction patients, and it can seize the best time for treatment.