摘要
目的探究急诊绿色通道下溶栓治疗在轻中型急性缺血性脑卒中患者中的应用效果及对其神经功能的影响。方法选取2020年1月至2022年3月抚州市第一人民医院收治的72例轻中型急性缺血性脑卒中患者作为研究对象,根据其就诊时医院是否开通优质绿色通道分为对照组与观察组,每组36例。对照组实施传统急诊路色通道下溶栓治疗,观察组实施优质急诊绿色通道下溶栓治疗。比较两组救治时间、神经功能、脑出血转化率、死亡率及救治满意度。结果观察组完成CT扫描时间、就诊至会诊完成时间、急诊至静脉溶栓时间(DNT)均短于对照组,差异有统计学意义(P<0.05);救治后,两组美国国立卫生研究院卒中量表(NIHSS)评分均低于救治前,且观察组低于对照组,差异有统计学意义(P<0.05);两组脑出血转化率、死亡率比较差异无统计学意义。观察组救治满意度为94.44%,高于对照组的77.78%,差异有统计学意义(P<0.05)。结论实施优质急诊绿色通道下溶栓治疗轻中型急性缺血性脑卒中患者效果显著,可改善患者神经功能,提高救治满意度,值得临床推广应用。
Objective To investigate the application effect of emergency green channel thrombolytic therapy in patients with mild and medium acute ischemic stroke and its influence on their neurological function.Methods 72 patients with mild and medium acute ischemic stroke admitted to Fuzhou First People's Hospital from January 2020 to March 2022 were selected as the study subjects,and they were divided into the control group and the observation group according to whether high-quality green channels were opened at the time of treatment,with 36 cases in each group.The control group received traditional emergency thrombolytic therapy under the road color channel,and the observation group tried high-quality emergency thrombolytic therapy under the green channel.The time of treatment,neurological function,conversion rate of cerebral hemorrhage,mortality and satisfaction of treatment were compared between the two groups.Results The time to complete CT scan,the time from consultation to consultation,and the time from emergency to intravenous thrombolysis(DNT)in the observation group were shorter than those in the control group,and the differences were statistically significant(P<0.05).After treatment,the score of National Institutes of Health stroke scale(NIHSS)of the two group were lower than those before treatment,and the observation group was lower than that in the control group,and the differences were statistically significant(P<0.05).There was no significant difference in the conversion rate and death rate of cerebral hemorrhage between the two groups.The satisfaction of treatment in the observation group was 94.44%,which was higher than 77.78% in the control group,and the difference was statistically significant(P<0.05).Conclusion The implementation of high-quality emergency green channel thrombolytic therapy for mild and medium acute ischemic stroke patients has remarkable effects,which can improve the neurological function of patients and improve the satisfaction of treatment,and is worthy of clinical promotion and appli
作者
李民
邹国云
廖广良
LI Min;ZOU Guoyun;LIAO Guangliang(Department of Emergency,Fuzhou First People's Hospital,Fuzhou,Jiangxi,344000,China;Clinical Department of Outpatient Department Directly Under Fuzhou,Fuzhou,Jiangxi,344000,China)
出处
《当代医学》
2024年第2期181-185,共5页
Contemporary Medicine
关键词
轻中型缺血性脑卒中
急诊绿色通道
神经功能
Mild and medium ischemic stroke
Emergency green channel
Neural function
