Green channel combined with emergency medical service for patients with acute ischemic stroke
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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.
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