院内卒中应急流程在急性脑梗死溶栓治疗中的应用  

Application of emergency response work flow in the thrombolytic therapy for patients with acute cerebral infarction

作　　者：徐敏[1] 王惠琴[1] 杨红燕[1] 陈金花[1] 陈水红[1] 

机构地区：[1]浙江大学医学院附属第二医院神经内科,杭州市310009

出　　处：《中华护理杂志》2012年第3期204-205,共2页Chinese Journal of Nursing

基　　金：浙江省教育厅立项课题(编号:Y201122712)

摘　　要：在急诊评估-卒中单元快速溶栓的基础上,建立院内卒中应急流程,包括预检患者、卒中应急小组评估、快速影像、快速转运、卒中单位准备5个方面。定期开展对医务人员的培训和院内卒中应急流程的持续改进和优化。建立应急流程后,急性脑梗死患者溶栓前的院内等待时间由121min缩短到93min,溶栓率由1.13%提高到5.39%,平均住院日由15.76d缩短到11.02d,人均住院费用下降10.10%,有效地降低急性缺血性脑卒中患者的致残率。Based on the system of rapid emergency assessment and rapid thrombolytic therapy in stroke unit,an emergency response work flow for stroke patients was established. The work flow consisted of five steps,including initial screening,assess- ment by stroke emergency team,rapid imaging examination,rapid transport and preparation of stroke unit. After implementation of the emergency response work flow,the waiting time for thrombolytic therapy was shorted from 121 minutes to 93 minutes. The rate of thrombolytic therapy was increased from 1.13% to 5.39%. The average hospital day was shortened from 15.76 days to 1t.02 days,and the average hospital charge was decreased by 10.1%. In addition,the rate of disability was effectively reduced.

关 键 词：脑血管意外 血栓溶解疗法 急救医疗服务 

分 类 号：R743.3[医药卫生—神经病学与精神病学]