Journal of Advances in Clinical Nursing
Journal of Advances in Clinical Nursing. 2026; 5: (3) ; 10.12208/j.jacn.20260127 .
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安徽省公共卫生临床中心（安徽医科大学第一附属医院北区） 安徽合肥
*通讯作者： 曹悦莉,单位：安徽省公共卫生临床中心（安徽医科大学第一附属医院北区） 安徽合肥；
目的 探讨优化急诊护理流程对急性缺血性脑卒中患者rt-PA静脉溶栓救治率的影响分析。方法 选择2024年5月-2025年5月期间接收的急性缺血性脑卒中患者80例，采用随机数字表法将80例患者分成对照组（40例，采取常规急诊护理），和观察组（40例，在对照组护理基础上采用优化急诊护理流程）。对两组的神经功能缺损程度评分、DNT、静脉开通、CT完成时间、溶栓救治率及护理满意度。结果 在护理前，两组患者的神经功能缺损程度评分之间无明显区别（P＞0.05）。护理后，观察组神经功能缺损程度评分显著低于对照组（P＜0.05）；此外，观察组DNT、静脉开通、CT完成时间均短于对照组（P＜0.05），溶栓救治率、护理满意度高于对照组（P＜0.05）。结论 优化急诊护理流程对急性缺血性脑卒中患者rt-PA静脉溶栓救治率具有显著影响，可有效减轻神经功能损伤，并显著缩短救治时间，有较高应用价值。
Objective Exploring the impact of optimizing emergency nursing procedures on the treatment rate of rt PA intravenous thrombolysis in patients with acute ischemic stroke. Methods 80 patients with acute ischemic stroke who were admitted between May 2024 and May 2025 were selected. The 80 patients were randomly divided into a control group (40 cases, receiving routine emergency nursing) and an observation group (40 cases, receiving optimized emergency nursing procedures based on the control group nursing) using a random number table method. The neurological deficit score (NIHSS), door-to-needle time (DNT), venous opening time, CT completion time, thrombolysis treatment rate, and nursing satisfaction were compared between the two groups. Results Before nursing, there was no significant difference in the degree of neurological deficit scores between the two groups of patients (P>0.05). After nursing, the degree of neurological deficit score in the observation group was significantly lower than that in the control group (P<0.05); In addition, the observation group had shorter completion times for DNT, venous opening, and CT compared to the control group (P<0.05), and higher rates of thrombolysis treatment and nursing satisfaction than the control group (P<0.05). Conclusion Optimizing the emergency nursing process has a significant impact on the treatment rate of rt PA intravenous thrombolysis in patients with acute ischemic stroke, which can effectively reduce neurological damage and significantly shorten treatment time, and has high application value.
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