摘要
目的探讨脑卒中绿色通道成立对急性缺血性脑卒中(acute ischemic stroke,AIS)患者治疗效果的影响。方法选取河南省人民医院2017年2月—2018年1月脑卒中绿色通道诊治的AIS 82例患者作为观察组,2016年2月—2017年1月急诊诊治的AIS 78例患者作为对照组。通过回顾性分析比较2组患者的一般资料和完成接诊、头颅CT扫描、血液检查及就诊到溶(取)栓的时间(door to needle time,DNT),并对2组患者的接诊1 h溶(取)栓率、平均住院时间和3个月后神经功能缺损评分及伤残评分(mRs)进行对比。结果观察组患者完成接诊(4.5±1.6)min、头颅CT扫描(40.7±9.8)min、血液检查(38.5±5.9)min、签署手术同意书(45.2±8.1)min及DNT(57.4±6.4)min,较对照组(10.4±3.6)、(78.5±12.4)、(64.1±15.6)、(81.2±15.5)及(90.3±18.6)min均降低,差异均有统计学意义(P<0.001)。观察组患者1 h内溶(取)栓率43.9%,高于对照组23.1%,差异有统计学意义(P<0.05)。观察组患者平均住院时间(10.7±3.2)d较对照组(13.6±4.2)d短,差异有统计学意义(P<0.01)。3个月后观察组患者美国立卫生研究院卒中量表(NHISS)评分(6.9±2.7)分和mRs评分(0.84±0.13)分,低于对照组(8.4±3.2)、(0.92±0.21)分,差异有统计学意义(P<0.05)。结论脑卒中绿色通道建立能够缩短AIS患者DNT和平均住院时间,提高患者溶(取)栓率,有利于患者相关功能恢复,改善预后。
Objective To explore the effect of the establishment of green channel for stroke on the treatment of patients with acute ischemic stroke(AIS).Methods 82 patients with AIS admitted to our hospital from February 2017 to January 2018 were designated as the observed group,while the AIS patients from February 2016 to January 2017(78 patients)served as the control group.The time of completion of the consultation,CT scan,blood test,signing of the consent form and door to needle time of the two groups were compared,and the rate of thrombosis(thrombectomy)was observed.The average hospitalization day and the neurological function score(NIHSS)and disability score(mRs)after 3 months were compared.Results Patients in the observation group completed receiving(4.5±1.6)min,head CT scanning(40.7±9.8)min,blood tests(38.5±5.9)m.Signature of consent to surgery(45.2±8.1)min and DNT(57.4±6.4)min,and compared with the control group all the above were lower[(10.4±3.6),(78.5±12.4),(64.1±15.6),(81.2±15.5),(90.3±18.6)]min.There was statistic significance(P<0.001).In the observation group the thrombolysis rate in hour was 43.9%,higher than that of the control group(23.1%).There was statistic significance(P<0.05).The average hospitalization time of the observation group(10.7±3.2)d was shorter that of the control group(13.6±4.2)d.There was statistic significance(P<0.01).After three months patients score(NHISS and mRs)in the observation group was lower(6.9±2.7/0.84±0.13)than that of the control group(8.4±3.2/0.92±0.21).There was statistic significance(P<0.05).Conclusion The establishment of green channel could significantly shorten the time of DNT and the average hospitalization time,and improve the thrombosis(thrombectomy)rate of patients,and improve the recovery of related functions and outcome of patients.
作者
杨子蕙
姚幸村
程剑剑
田庆丰
YANG Zihui;YAO Xingcun;CHENG Jianjian;TIAN Qingfeng(School of Public Health,Zhengzhou University,Zhengzhou Henan 450001,China;Department of Finance,Henan People’s Hospital,Zhengzhou Henan 450003,China)
出处
《河南医学高等专科学校学报》
2019年第5期596-599,共4页
Journal of Henan Medical College
基金
中国经济改革促进与能力加强项目(20180419A)
关键词
急性缺血性脑卒中
绿色通道
治疗效果
平均住院日
acute ischemic stroke
green channel
treatment effect
average hospitalization time
