摘要
目的探讨急性脑梗死静脉溶栓中微信APP工作平台软件系统的应用。方法选取2017年6月至2019年12月进入该院脑卒中绿色通道溶栓的急性脑梗死患者128例,分为研究组和对照组,每组64例。研究组采用微信APP工作平台软件系统,对照组采用传统绿色通道。记录两组患者入院到完成影像学检查时间(DIT)、完成影像学检查到注射静脉溶栓药物时间(INT)、入院到注射静脉溶栓药物时间(DNT),溶栓后24 h美国国立卫生研究院卒中量表(NIHSS)评分、溶栓后1周NIHSS评分、溶栓后1周改良Rankin量表(mRS)评分、脑出血转化率、卒中相关性肺炎发生率、住院时间、医疗费用、病死率等情况。结果研究组的INT、DNT明显短于对照组,差异有统计学意义(P<0.01)。研究组溶栓后24 h NIHSS评分,溶栓后1周NIHSS评分、mRS评分,脑出血转化率、卒中相关性肺炎发生率、住院时间、医疗费用及病死率明显低于对照组,差异有统计学意义(P<0.05)。结论急性脑梗死静脉溶栓中应用微信APP工作平台软件系统能实现急诊绿色通道的畅通、高效,缩短INT、DNT,减少并发症发生率,提高生活质量。
Objective To investigate the application of WeChat APP work platform software system in intravenous thrombolysis of acute cerebral infarction.Methods A total of 128 cases of cerebral infarction treated by the green channel thrombolysis of cerebral infarction in this hospital from June 2017 to December 2019 were selected and divided into the study group and control group,64 cases in each group.The study group adopted the WeChat APP work platform software system,and the control group adopted the conventional green channel.The time from admission to imaging examination completion(DIT),time from imaging examination completion to intravenous injection of thrombolytic drugs(INT),time from admission to intravenous injection of thrombolytic drugs(DNT),NIHSS score at 24 h after thrombolysis,NIHSS score at 1 week after thrombolysis,mRS score at 1 week after thrombolysis,conversion rate of cerebral hemorrhage,incidence rate of stroke related pneumonia,hospitalization time,medical expenses,mortality rate,etc.were recorded in the two groups.Results The INT and DNT in the study group were significantly shorter than those in the control group,and the difference was statistically significant(P<0.01).The NIHSS score at 24 h after thrombolysis,NIHSS score and mRS score at 1 week after thrombolysis,conversion rate of cerebral hemorrhage,incidence rate of stroke related pneumonia,hospitalization time,medical expenses and mortality rate in the study group were significantly lower than those in the control group,and the differences were statistically significant(P<0.05).Conclusion The application of WeChat APP work platform software system in the intravenous thrombolysis of acute cerebral infarction can achieve the green channel unimpeded and high effectiveness,shorten INT and DNT,reduce the incidence rate of complications and increase the living quality.
作者
刘贞仔
刘翰文
古贱秀
林树发
谢茂庭
赖坚强
刘宏文
LIU Zhenzi;LIU Hanwen;GU Jianxiu;LIN Shufa;XIE Maoting;LAI Jianqiang;LIU Hongwen(Department of Neurology,Ganzhou Hospital of Guangdong Provincial People′s Hospital/Ganzhou Municipal Hospital,Ganzhou,Jiangxi 341000,China;Departmental of Neurosurgery,Ganzhou Hospital of Guangdong Provincial People′s Hospital/Ganzhou Municipal Hospital,Ganzhou,Jiangxi 341000,China;Department of Emergency,Ganzhou Hospital of Guangdong Provincial People′s Hospital/Ganzhou Municipal Hospital,Ganzhou,Jiangxi 341000,China)
出处
《重庆医学》
CAS
2021年第7期1208-1211,共4页
Chongqing medicine
基金
江西省卫生健康委员会科技计划课题项目(20204642)。
关键词
急性脑梗死
静脉溶栓
信息化管理
治疗结果
acute cerebral infarction
intravenous thrombolysis
informatization management
treatment outcome
