Green channel combined with emergency medical service for patients with acute ischemic stroke
-
摘要: 目的 研究绿色通道结合急救医疗服务在急性缺血性脑卒中(AIS)急救中的应用效果。 方法 选取2018年5月—2019年5月在急诊接受绿色通道结合急救医疗服务的70例患者作为观察组,并选取2017年4月—2018年5月在本院接受常规急诊医疗服务的70例患者作为对照组。比较分析2组治疗效果,血管介入、静脉溶栓和溶栓桥接血管内介入的治疗情况,溶栓时间以及治疗前后的神经功能缺损(NIHSS)评分。 结果 观察组总有效率为94.29%, 显著高于对照组的78.57%(P<0.05)。2组血管介入、溶栓桥接血管内介入的治疗率比较无显著差异(P>0.05); 观察组静脉溶栓治疗有效率为22.86%, 显著高于对照组的10.00%(P<0.05)。观察组溶栓时间显著短于对照组(P<0.05); 治疗前, 2组NIHSS评分无显著差异(P>0.05); 治疗后,观察组NIHSS评分显著低于对照组(P<0.05)。 结论 AIS应用绿色通道结合急救医疗服务可以优化诊疗流程,缩短患者溶栓时间和住院时间。Abstract: Objective To observe the application effect of green channel combined with emergency medical service in emergency treatment of acute ischemic stroke(AIS). Methods From May 2018 to May 2019, a total of 70 patients who received green channel combined with emergency medical service in emergency department were selected as observation group. A total of 70 patients who received routine emergency medical service in our hospital from April 2017 to May 2018 were selected as control group. The therapeutic effect, the treatment conditions of vascular intervention, intravenous thrombolysis and thrombolytic bridge endovascular intervention, and the time of thrombolysis and the National Institutes of Health Stroke Scale(NIHSS)score before and after treatment were compared between the two groups. Results The total effective rate in the observation group was significantly higher than that in the control group(94.29% vs. 78.57%, P<0.05). There were no significant differences in the treatment rates of vascular intervention and thrombolytic bridge intervention between the two groups(P>0.05); the effective rate of intravenous thrombolysis in the observation group was 22.86%, which was significantly higher than 10.00% in the control group(P<0.05). Thrombolysis time in the observation group was significantly shorter than that in the control group(P<0.05); before treatment, there was no significant difference in NIHSS scores between the two groups(P>0.05). After treatment, NIHSS score of the observation group was significantly lower than that of the control group(P<0.05). Conclusion Green channel combined with emergency medical services has a significant effect for AIS patients, which can optimize the diagnosis and treatment process, and shorten the time of thrombolysis and hospitalization.
-
-
董奕君. 院前急救护理路径在脑卒中患者中的应用效果[J]. 实用临床医药杂志, 2016, 20(10): 10-13. 李光建, 史树贵, 周振华, 等. 院内卒中救治绿色通道建立、优化及区域救治网络的建立[J]. 中国卒中杂志, 2018, 13(2): 127-131. 短暂性脑缺血发作中国专家共识组. 短暂性脑缺血发作的中国专家共识更新版(2011年)[J]. 中华内科杂志, 2011, 50(6): 530-533. 中华医学会神经病学分会, 中华医学会神经病学分会脑血管病学组, 中华医学会神经病学分会神经血管介入协作组. 中国缺血性脑血管病血管内介入诊疗指南2015 [J]. 中华神经科杂志, 2015, 48(10): 830-837. 周娟, 陈璇. 优化绿色通道在急性脑卒中静脉溶栓患者中的应用[J]. 实用临床医药杂志, 2018, 22(18): 1-3. 钟晚思, 陈智才, 陈红芳, 等. 院前急救医疗服务对缺血性脑卒中患者静脉溶栓预后的影响[J]. 浙江大学学报(医学版), 2019, 48(3): 241-246. SILVA G S, NOGUEIRA R G. Endovascular treatment of acute ischemic stroke[J]. Continuum(Minneap Minn), 2020, 26(2): 310-331.
李楠. 优化缺血性卒中绿色通道流程对院内无缝衔接急救模式的临床研究[J]. 中国卒中杂志, 2017, 12(8): 696-700. 杨敬, 马青峰, 任怡, 等. 脑卒中急诊绿色通道管理模式的实践[J]. 中国病案, 2019, 20(8): 110-112. 邓先锋, 向莉, 冯霞, 等. 急性缺血性脑卒中院前院内协作的溶栓急救绿色通道构建[J]. 临床急诊杂志, 2019, 20(11): 860-865. -
期刊类型引用(6)
1. 郑治锦，张莉，苏静. 医疗团队资源管理模式在急性缺血性脑卒中患者中的应用. 国际医药卫生导报. 2024(03): 434-438 . 
百度学术
2. 王海燕，毛凌云，马济芬，王美兰. 角色定位模式在急性缺血性脑卒中病人就诊流程中的应用. 循证护理. 2023(10): 1851-1854 . 百度学术
3. 刘倩，宋莎莎，王全庆. 基于HFMEA模型的管理方案在急性缺血性脑卒中患者急救过程中的应用. 海南医学. 2023(15): 2252-2256 . 百度学术
4. 陈倩倩，巫庆荣，李睿瑛. 探讨颈部血管彩超联合经颅多普勒超声对缺血性脑卒中的诊断价值. 保健医学研究与实践. 2022(10): 70-73 . 百度学术
5. 淡华臣，汤斌，沈百庆，张瑞娟，曹晨. 急诊创新绿色通道对急性缺血性脑卒中静脉溶栓治疗患者的抢救效果分析. 中国校医. 2022(12): 934-936+947 . 百度学术
6. 冯新春，高磊. 急性缺血性脑卒中患者发病至急诊科时间间隔的影响因素观察. 山西医药杂志. 2021(10): 1704-1706 . 百度学术
其他类型引用(0)
计量
- 文章访问数: 468
- HTML全文浏览量: 128
- PDF下载量: 7
- 被引次数: 6
下载:
苏公网安备 32100302010246号