绿色通道在急性缺血性脑卒中患者救治中的价值  

Value of emergency green track in rescuing patients with acute ischemic stroke

作　　者：秦敬翠[1] 周联生[1] 刘美玲[1] 孔德莲[1] 

机构地区：[1]徐州市第一人民医院神经内科,江苏徐州2210002

出　　处：《临床荟萃》2011年第4期310-311,314,共3页Clinical Focus

摘　　要：目的探讨绿色通道在急性缺血性脑卒中患者救治中的价值。方法急性缺血性脑卒中患者971例,按照是否通过绿色通道救治分为两组:绿色通道组473例,实施绿色通道诊疗;对照组498例,按常规方法治疗。观察两组患者溶栓率、临床疗效、病死率等指标的变化。结果绿色通道的溶栓率为6.3%(30/473),显著高于对照组2.4%(12/498);而病死率为0.6%(3/473),显著低于对照组2.4%(12/498)(P<0.05);且两组之间的临床疗效差异有统计学意义(P<0.05)。结论实施急性脑卒中绿色通道能够优化患者诊治流程,提高医疗质量,一定程度上改善患者预后。Objective To investigate the value of emergency green track in rescuing patients with acute ischemic stroke.Methods 971 patients with acute ischemic stroke were divided into two groups according to whether they were treated in emergency green track,473 cases were divided into the green channel group,and 498 cases received traditional medical treatment.We observed and compared thrombolysis rate,clinical curative effect,and mortality between two groups.Results The thrombolysis rate in the group of emergency green track was 6.3%（30/473）,which was higher than that of the traditional medical group 2.4%（12/498）,but the former′s mortality was 0.6%（3/473）,lower than that of the traditional medical group 2.4%（12/498）.There were statistically significant differences between two groups in the clinical curative effect（P0.05）.Conclusion Emergency green track for patients with acute ischemic stroke can effectively optimize the process,raise the quality of medical treatment,and improve the prognosis of stroke patients.

关 键 词：脑梗塞 血栓溶解疗法 急诊处理 绿色通道 

分 类 号：R743.33[医药卫生—神经病学与精神病学]