急性缺血性脑卒中介入治疗优化护理路径的构建及应用

doi:10.20223/j.cnki.1000-8535.2025.11.013

广州医药 ›› 2025, Vol. 56 ›› Issue (11): 1563-1568.DOI: 10.20223/j.cnki.1000-8535.2025.11.013

急性缺血性脑卒中介入治疗优化护理路径的构建及应用

李梅芳¹, 涂江龙², 于德昕¹, 朱剑¹, 李倩雨³

1 南昌大学第二附属医院介入科（江西南昌 330006）
2 南昌大学第二附属医院神经内科（江西南昌 330006）
3 南昌大学第二附属医院麻醉护理（江西南昌 330006）

收稿日期:2025-03-24 出版日期:2025-11-20 发布日期:2025-12-25
通讯作者: 李梅芳,E-mail：limeifangndefy@163.com;于德昕,E-mail：185646845@qq.com
基金资助:
江西省卫生健康委科技计划项目（202210537）

Development and application of an optimized nursing pathway for endovascular therapy in acute ischemic stroke

LI Meifang¹, TU Jianglong², YU Dexin¹, ZHU Jian¹, LI Qianyu³

1 Department of Interventional Medicine,the Second Affiliated Hospital of Nanchang University,Nanchang 330006,China
2 Department of Neurology,the Second Affiliated Hospital of Nanchang University,Nanchang 330006,China
3 Department of Anesthesia Nursing,the Second Affiliated Hospital of Nanchang University,Nanchang 330006,China

Received:2025-03-24 Online:2025-11-20 Published:2025-12-25

摘要/Abstract

摘要： 目的探讨优化护理路径在急性缺血性脑卒中介入手术中的应用及效果。方法采用随机对照研究,纳入2024年1月—2025年1月收治的112例急性缺血性脑卒中取栓患者,观察组（56例）实施优化介入护理路径,对照组（56例）采用常规护理。结果观察组患者的满意度评分、医护满意度评分均优于对照组（P<0.05）;观察组的术前等待时间、患者自进入介入室至股动脉穿刺时间、手术时间、住院费用、并发症发生率、差错事故发生率也优于对照组（P<0.05）。结论通过标准化术前准备、术中多学科协作及术后康复衔接,优化护理路径可显著提升急性缺血性脑卒中治疗时效性（缩短急性脑卒中患者从进入医院到开始静脉溶栓给药的时间至黄金时间窗内）,改善患者神经功能预后。

关键词: 急性缺血性脑卒中, 介入治疗, 优化护理路径

Abstract: Objective To explore the application and efficacy of an optimized nursing pathway in endovascular therapy for acute ischemic stroke（AIS）．Methods A randomized controlled trial was conducted,enrolling 112 AIS patients undergoing mechanical thrombectomy from January 2024 to January 2025．Patients were randomly assigned to either the observation group（n=56）,which received the optimized interventional nursing pathway,or the control group（n=56）,which received routine nursing care．Results Patient satisfaction score,medical staff satisfaction score,and postoperative favorable recovery rate in observation group were better than those of control group（P<0.05）．Additionally,the observation group showed significant improvements in preoperative waiting time,time from entering the operation room to femoral artery puncture,surgical duration,hospitalization costs,complication incidence rate,and medical error incidence rate（P<0.05）．Conclusions By standardizing preoperative preparations,implementing intraoperative multidisciplinary collaboration,and enhancing postoperative rehabilitation coordination,the optimized nursing pathway significantly improved the timeliness of thrombectomy treatment（shortening door-to-needle time to reach the golden time window）and enhanced neurological functional prognosis in AIS patients,demonstrating substantial clinical applicability．

Key words: acute ischemic stroke, endovascular therapy, optimized nursing pathway

李梅芳, 涂江龙, 于德昕, 朱剑, 李倩雨. 急性缺血性脑卒中介入治疗优化护理路径的构建及应用[J]. 广州医药, 2025, 56(11): 1563-1568.

LI Meifang, TU Jianglong, YU Dexin, ZHU Jian, LI Qianyu. Development and application of an optimized nursing pathway for endovascular therapy in acute ischemic stroke[J]. Guangzhou Medical Journal, 2025, 56(11): 1563-1568.

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急性缺血性脑卒中介入治疗优化护理路径的构建及应用

Development and application of an optimized nursing pathway for endovascular therapy in acute ischemic stroke

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