医院前中风治疗期间的生理变化:使用哪些监测和干预措施?
Abdulaziz Alshehri1,2, Jonathan Ince1, Ronney B Panerai1,3
1Cerebral Haemodynamics in Ageing and Stroke Medicine (CHiASM) Research Group, Department of Cardiovascular Sciences, University of Leicester, Leicester LE1 7RH, UK.
Healthcare (Basel, Switzerland)
|April 26, 2024
概括
医院前中风护理需要平衡快速运输与生理监测. 这次审查发现血压升高和心率变化降低与更糟糕的结果有关,但对改善结果的干预措施的证据有限.
科学领域:
- 神经学 神经学
- 紧急医疗 紧急医疗
- 关键的护理关键的护理
背景情况:
- 医院前中风护理优先考虑快速诊断和治疗.
- 生理参数显著影响长期中风患者的结果.
- 快速转移与密集监测之间的平衡对于医院前临床医生至关重要.
研究的目的:
- 系统地审查有关中风患者医院前生理监测和干预措施的文献.
- 为了确定生理参数对中风结果在医院前环境的影响.
- 为未来的研究和临床实践提供医院前中风管理的信息.
主要方法:
- 在PROSPERO注册的系统审查 (CRD42022308991).
- 通过引用级联搜索搜索了四个数据库.
- 包括19项研究,分为生理监测和药物治疗干预措施.
主要成果:
- 14项研究重点关注生理监测;血压升高与血液瘤增加和神经系统恶化相关.
- 减少心率变化与不良结果有关.
- 关于药理疗法的五项研究表明,血压降低干预措施的证据有限,氧气或硫酸没有益处.
结论:
- 在医院前的中风护理中,持续的生理监测在很大程度上不存在.
- 基本的生理参数,如血压和心率的变化是关键的.
- 需要进一步的研究来优化医院前干预措施,以改善中风患者的治疗结果.
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