Clinical value of implementing integrated nursing model in intravenous thrombolysis for acute cerebral infarction
超急性期脑梗死静脉溶栓中应用医护一体化护理模式的临床价值

摘要

目的 探讨超急性期脑梗死静脉溶栓中应用医护一体化护理模式的临床价值。方法 选取2024年1月-2025年12月本院收治的92例超急性期脑梗死且接受静脉溶栓治疗的患者作为研究对象，随机分为观察组和对照组，各46例，对照组给予常规护理，观察组实施医护一体化护理，比较两组护理效果。结果 观察组入院至溶栓时间（DNT）短于对照组（P<0.05）。溶栓后24h及7d，观察组美国国立卫生研究院卒中量表（NIHSS）评分均低于对照组（P<0.05）。溶栓后30d，观察组Barthel指数（BI）评分高于对照组（P<0.05）。观察组溶栓后颅内出血发生率低于对照组（P<0.05）。结论 在超急性期脑梗死静脉溶栓治疗过程中实施医护一体化护理模式，能够有效缩短患者救治时间窗口，降低溶栓后出血风险，改善神经功能恢复效果，提升患者日常生活自理能力。

Abstract

Objective To explore the clinical value of implementing the integrated nursing model in intravenous thrombolysis for acute cerebral infarction.
Methods A total of 92 patients with acute cerebral infarction who received intravenous thrombolysis treatment in our hospital from January 2024 to December 2025 were selected as the research subjects. They were randomly divided into the observation group and the control group, with 46 cases in each group. The control group received routine care, while the observation group implemented the integrated nursing model. The nursing effects of the two groups were compared.
Results The DNT (time from admission to thrombolysis) of the observation group was shorter than that of the control group (P < 0.05). At 24 hours and 7 days after thrombolysis, At 24h and 7d after thrombolysis, the observation group had lower National Institutes of Health Stroke Scale (NIHSS) scores than the control group (P < 0.05). At 30 days after thrombolysis, the Barthel Index (BI) score of the observation group was higher than that of the control group (P < 0.05). The incidence of intracranial hemorrhage after thrombolysis in the observation group was lower than that in the control group (P < 0.05).
Conclusion   Implementing the integrated nursing model in the intravenous thrombolysis treatment of acute cerebral infarction can effectively shorten the treatment time window, reduce the risk of bleeding after thrombolysis, improve the recovery effect of neurological function, and enhance the daily living self-care ability of patients.