摘要
目的:描述并比较使用及未使用院前急救医疗服务(emergency medical services,EMS)的急性缺血性脑卒中(acute ischemic stroke,AIS)患者的诊疗方式及诊疗过程。方法:回顾性分析广州市番禺区中心医院自2019年10月至2020年11月救治的1041例AIS患者。结果:与自行入院者相比,救护车运送入院者年龄较更高,患者出现言语不清的症状更多,入院NIHSS得分更高,从发病到入院时间(time from onset to hospital admission,OTD)时间更短,接受静脉溶栓、血管内介入治疗的比例更高,从入门到开始CT时间(door to CT scan,DTC)时间更短,均具有统计学意义。结论:接受EMS的AIS患者更有利于救治工作的开展。
Objective:To describe the treatment and procedures of acute ischemic stroke(AIS) for those whether using pre-hospital emergency medical services(EMS) or not.Methods:A retrospective analysis was performed on 1041 AIS patients treated from October 2019 to November 2020 in the Central Hospital of Panyu District of Guangzhou.Results:Compared with patients arriving at hospitals by themselves,those admitted by ambulance were older,more patients had slurred speech,and had a higher NIHSS score on admission,the OTD time of ambulance transporters was shorter,the proportions of ambulance transporters receiving intravenous thrombolysis and intravascular interventional therapy were higher,and these all were statistically significant.Conclusion:AIS patients who receive pre-hospital EMS have a efficient treatment.
作者
李巧薇
武轶群
彭志强
许遵宝
朱真真
杨碧青
吴正懂
罗日鑫
LI Qiao-wei;WU Yi-qun;PENG Zhi-qiang;XU Zun-bao;ZHU Zhen-zhen;Bi-qing;YANG Bi-qing;WU Zheng-dong;LUO Ri-xin(Unit 2 Department of Brain,Guangzhou Panyu Central Hospital,Guangzhou,511400;Departement of Epidemiology and Biostatistics,School of Public Health,Peking University,Beijing,100191)
出处
《岭南急诊医学杂志》
2022年第1期10-13,共4页
Lingnan Journal of Emergency Medicine
基金
广东省广州市番禺区工商信局重大医疗卫生项目(2018-Z04-02)
广东省广州市番禺区科技计划(2020-Z04-009)。
