急性缺血性脑卒中急诊取栓流程优化  

Optimization of Emergency Mode for Acute Ischemic Stroke Patients Treated with Mechanical Embolectomy

作　　者：邱佩琪 张小曦 刘建民[2] 邓本强[3] 鲁琼[4] 文婉玲 张永巍[3] 杨鹏飞[2] 戴冬伟[2] 

机构地区：[1]第二军医大学长海医院医教部,上海200433 [2]第二军医大学长海医院神经外科,上海200433 [3]第二军医大学长海医院脑血管内科,上海200433 [4]第二军医大学长海医院实验诊断科,上海200433

出　　处：《解放军医院管理杂志》2016年第8期712-714,741,共4页Hospital Administration Journal of Chinese People's Liberation Army

基　　金：国家青年科学基金项目(81502163)

摘　　要：目的评价脑血管病急诊模式优化措施对急性缺血性脑卒中(AIS)患者急诊取栓效率的影响。方法收集本院实施脑血管病急诊模式优化前后收治的AIS患者,采用回顾性分析比较各组患者的相关指标。结果对照组与优化组各收集到患者49例,两组自接诊到CT检查、送入导管室、静脉溶栓及动脉取栓再通的时间分别为24.1±13.6 min vs 13.4±7.6 min,t=4.417(P<0.001);87.8±48.0 min vs 70.6±23.0 min,t=2.095(P=0.020);49.5±24.7 min vs 38.9±12.5 min,t=2.034(P=0.024);197.0±62.3 min vs 142.6±46.6 min,t=4.053(P=<0.001),差异均具有统计学意义。优化的脑血管急诊模式可显著缩短AIS患者自抵达急诊到CT检查、静脉溶栓、抵达导管室、动脉取栓再通的时间。结论优化的脑血管急诊模式可显著提高急诊取栓效率。Objective To assess the effects of optimized emergency mode on the efficacy of acute ischemic stroke（ AIS） patients treated with mechanical embolectomy. Methods Samples of AIS patients were collected before and after optimizing emergency mode in our hospital. The main indexes of patients in each group were retrospectively analyzed and compared. Results 49 patients were recruited in each group. After optimizing emergency mode,the interval since admission to CT examination,needle,catheterization room and mechanical embolectomy was significantly shortened. Consequently,the efficacy was improved. Conclusion Optimized emergency mode can significantly improve the efficacy of mechanical embolectomy in Emergency Department.

关 键 词：急性缺血性脑卒中 急诊模式 动脉取栓 流程优化 

分 类 号：R197.32[医药卫生—卫生事业管理]