脑卒中一体化管理对缩短急性缺血性脑卒中患者救治时间的影响
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摘要
目的:探讨脑卒中一体化管理和院内卒中流程优化在缩短急性缺血性脑卒中患者救治时间中的作用。方法:2016年7～12月在我院急诊科就诊的发病在6小时内的急性缺血性脑卒中患者作为对照组;2017年7～12月在我院急诊科就诊的发病在6小时内急性缺血性脑卒中患者作为实验组。对照组按照脑卒中传统的常规就治流程;实验组在各医共体单位建立脑卒中三位一体智能化信息平台和院内卒中流程优化处置。结果:两组患者比较,实验组溶栓例数多于对照组(P<0.05);发病到入急诊时间和入院到溶栓时间(DNT)实验组均短于对照组(P<0.01)。结论:脑卒中一体化管理和院内卒中流程优化可明显缩短急性缺血性脑卒中患者的救治时间,提高救治成功率。
Objective:This study explored the role of integrated stroke management and in-hospital stroke optimization in reducing the treatment time of patients with acute ischemic stroke. Method:From July to December,2016,patients with acute ischemic stroke within 6 hours who were diagnosed in the emergency department of our hospital served as the control group. In the emergency department of our hospital from July to December 2017,patients with acute ischemic stroke within 6 hours of the disease were as the experimental group. The control group was treated according to the traditional routine of stroke. The experimental group was disposed according to the optimization process,which was to establish a three-in-one intelligent information platform for stroke and optimization of the in-hospital stroke process in each medical unit. Results:By comparing with two groups,the number of thrombolytic cases in the experimental group was higher than that in the control group(P < 0.05). The time from onset to emergency and the time from admission to the Door to Needle Time(DNT)were both shorter than those in the control group(P < 0.01). Conclusion:The integrated management of stroke and the optimization of in-hospital stroke process can significantly reduce the treatment time of patients with acute ischemic stroke and improve theremedy achievement ratio.
Objective:This study explored the role of integrated stroke management and in-hospital stroke optimization in reducing the treatment time of patients with acute ischemic stroke. Method:From July to December,2016,patients with acute ischemic stroke within 6 hours who were diagnosed in the emergency department of our hospital served as the control group. In the emergency department of our hospital from July to December 2017,patients with acute ischemic stroke within 6 hours of the disease were as the experimental group. The control group was treated according to the traditional routine of stroke. The experimental group was disposed according to the optimization process,which was to establish a three-in-one intelligent information platform for stroke and optimization of the in-hospital stroke process in each medical unit. Results:By comparing with two groups,the number of thrombolytic cases in the experimental group was higher than that in the control group(P < 0.05). The time from onset to emergency and the time from admission to the Door to Needle Time(DNT)were both shorter than those in the control group(P < 0.01). Conclusion:The integrated management of stroke and the optimization of in-hospital stroke process can significantly reduce the treatment time of patients with acute ischemic stroke and improve theremedy achievement ratio.
引文
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[2]刘艺,顾巧华.品管圈在缩短脑卒中患者入院后静脉溶栓用药时间的运用[J].中国药物经济学,2014,9(2):156-157.
[3]中华医学会神经病学分会.中国急性缺血性脑卒中诊治指南2014[J].中华神经科杂志,2015,48(4):246-257.
[4]赵秀欣,穆利春,马丽芳. rt-PA静脉溶栓治疗急性脑梗死临床分析[J].中国循证心血管医学杂志,2016,8(4):486-488.
[5]马力,王韬,白波,等.脑卒中协同服务云平台在医疗联合体中的应用研究[J].中国全科医学,2017,31(11):3855-3859.
[6]曹艳芳. H市县域医共体建设问题与对策[D].安徽大学,2018.
[7]汤娟华,苏建华.金坛市区域卫生信息平台建设的探索与实践[J].中国农村卫生事业管理,2014,34(8):933-934.
[8]邱佩琪,杨国士,项耀钧,等.脑卒中一体化诊疗模式的探索与构建[J].中国卫生质量管理,2015,22(4):5-6.
[9]林玲.某三甲医院急性缺血性脑卒中静脉溶栓流程优化与管理的研究[D].福建医科大学,2015.
[10]刘艳平.社区卫生服务中心与综合性医院双向转诊的意义[J].中华全科医学,2011,9(2):249-250.