快速急诊内科评分及时间窗在脑梗死患者急诊中的应用价值

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Abstract Objective To explore the reference value of the rapid emergency medical score (REMS) and time windown for their condition judgment and effective treatment in patients with acute ischemic stroke.Methods The clinical data of 90 patients with acute cerebral infarction admitted to No.908 Hospital of the PLA Joint Logistics Support Force from January 2015 to December 2018 were analyzed retrospectively.The patients were divided into survival group (n=77) and death group (n=13) according to their living conditions.REMS was used to evaluate the survival group and the death group,including age,pulse,blood pressure,respiration,Glasgow coma scale (GCS) and percutaneous pulse oxygen saturation (SpO2).The REMS scores of 6 indexes between the two groups were compared.At the same time,the difference in time window was compared between the two groups.Results Pulse,systolic blood pressure,respiratory frequency,GCS,age and SpO2 REMS scores of patients in the death group were higher than those in the survival group,and the differences were statistically significant (P＜0.01).The average score of each item in death group was higher than that in survival group,the time window of the death group was longer than that in survival group,GCS scores of the death group were lower than those in the survival group,and the differences were statistically significant (P＜0.01).Conclusion The age,pulse,blood pressure,respiration,GSC,percutaneous pulse oxygen saturation are scored by REMS for patients with acute cerebral infarction of survival and death,which and time window have certain effects for condition judgment and effective treatment of patients with acute cerebral infarction.

Key words： Acute cerebral infarction Modified rapid emergency medical score Time Window Disease outcome prediction

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	GONG Yue-hua
	RAO Gui-fen
	XU Min

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GONG Yue-hua,RAO Gui-fen,XU Min. Application value of rapid emergency medical score and time window in emergency treatment of patients with cerebral infarction[J]. 中国当代医药, 2021, 28(5): 42-45.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2021/V28/I5/42

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