摘要
目的观察“卒中急救地图”区块链模式对急性缺血性脑卒中(AIS)急救的管控效果。方法回顾分析白银市6家二级以上医院急诊收治的1744例AIS患者的临床资料。以2019年5月至2019年12月通过常规急救绿色通道流程救治的402例(其中静脉溶栓188例)患者作为对照组;以2020年1月至2021年12月使用“卒中急救地图”区块链模式管控急救绿色通道流程救治的1342例(其中静脉溶栓598例)患者作为观察组。比较两组创建档案完整率、120救护车接诊率、静脉溶栓率和不同管控模式下两组静脉溶栓患者急诊首诊检查时间和静脉溶栓门针时间(DNT)的差异。结果观察组创建档案完整率、120接诊率均较对照组明显提高〔创建档案完整率:70.42%(945/1342)比64.43%(259/402),120接诊率:16.02%(215/1342)比11.69%(47/402),均P<0.05〕;但两组静脉溶栓率比较差异无统计学意义〔44.56%(598/1342)比46.77%(188/402),P>0.05〕。观察组实施静脉溶栓者急诊首诊检查时间、DNT均较对照组实施静脉溶栓者明显缩短〔急诊首诊检查时间(min):29.56±4.83比32.71±6.63,DNT(min):44.52±14.28比47.31±19.03,均P<0.05〕。结论“卒中急救地图”区块链模式管控对AIS急救效果良好。
Objective To observe the effect of"emergency map of stroke"blockchain mode on the management and quality control of influencing factors of acute ischemic stroke(AIS)first aid.Methods The clinical data of 1744 AIS patients admitted in 6 secondary and above hospitals in Baiyin City were retrospectively analyzed.A total of 402 patients(188 of whom with intravenous thrombolysis)in the control group were treated and rescued by the conventional fist-aid green channel process from May 2019 to December 2019,and the patients in the observation group were treated by the fist-aid green channel process with"emergency map of stroke"blockchain mode management and quality control from January 2020 to December 2021,including 1342 patients(598 of whom with intravenous thrombolysis).The integrity rate of archives creation,reception rate of 120 ambulance,thrombolytic rate of intravenous,time of the first emergency reception and examination and door-to-needle-time(DNT)of two groups were compared.Results The integrity rate of archives creation,reception rate of 120 ambulance in the observation group were significantly improved than those in the control group[the integrity rate of archives creation:70.42%(945/1342)vs.64.43%(259/402),reception rate of 120 ambulance:16.02%(215/1342)vs.11.69%(47/402),both P<0.05].However,there was no significant difference between the two groups in the rate of intravenous thrombolysis[44.56%(598/1342)vs.46.77%(188/402),P>0.05].The time of first emergency reception and examination and DNT for patients undergone intravenous thrombolysis in the observation group were significantly shorter than those in the control groups for patients undergone intravenous thrombolysis[time of the first emergency reception and examination(minutes):29.56±4.83 vs.32.71±6.63,DNT(minutes):44.52±14.28 vs.47.31±19.03,both P<0.05].Conclusion The"Emergency map of stroke"blockchain model has a good effect on the management and quality control of influential factors of stroke first aid.
作者
徐养平
鲁静
王佐圣
许万鹏
雒明旺
王婕
彭可东
刘志繁
田景
Xu Yangping;Lu Jing;Wang Zuosheng;Xu Wanpeng;Luo Mingwang;Wang Jie;Peng Kedong;Liu Zhifan;Tian Jing(Department of Emergency,the Third Affiliated Hospital of Gansu University of Traditional Chinese Medicine,Baiyin 730900,Gansu,China;Baiyin Stroke Prevention and Treatment Center,Baiyin 730900,Gansu,China;Department of Emergency,Baiyin Second People's Hospital,Baiyin 730900,Gansu,China;Department of Emergency,Baiyin Central Hospital,Pingchuan 730900,Gansu,China;Department of Emergency,Jingtai County People's Hospital,Jingtai 730400,Gansu,China;Department of Emergency,Jingyuan County People's Hospital,Jingyuan 730600,Gansu,China;Department of Emergency,Huining County People's Hospital,Huining 730700,Gansu,China)
出处
《中国中西医结合急救杂志》
CAS
CSCD
北大核心
2023年第3期318-320,共3页
Chinese Journal of Integrated Traditional and Western Medicine in Intensive and Critical Care
基金
甘肃省自然科学基金(20JR10RA773)
中国脑卒中高危人群干预适宜技术研究及推广项目(GN-2016R0008)。
关键词
“卒中急救地图”区块链模式
管理和质控
卒中急救影响因素
效果
"Emergency map of stroke"blockchain mode
Management and quality control
Influential factors of stroke first aid
Effect
