介入治疗绿色通道在蛛网膜下腔出血治疗中的应用  

作　　者：张健松[1] 陶斯斌 吴海俊[1] 孙德弢 

机构地区：[1]武警浙江省总队嘉兴医院医务处,314000

出　　处：《浙江临床医学》2016年第12期2278-2279,共2页Zhejiang Clinical Medical Journal

摘　　要：目的探讨介入治疗绿色通道在急性蛛网膜下腔出血治疗中应用的可行性，为进一步改善绿色通道建设提供依据。方法回顾性分析2010年1月至2015年10月救治的75例经过绿色通道救治以及62例非绿色通道救治的急性蛛网膜下腔出血患者的急诊室至导管室时间（DTL）、介入成功率、患者家属对医务人员提供医疗服务态度和方式的满意度。结果绿色通道组比非绿色通道组的DTL明显缩短（P〈0．05），患者及家属满意程度亦较高（P〈0．05），介入手术不成功转为常规外科手术的发生率绿色通道组明显降低（P〈0．05）。结论急性蛛网膜下腔出血介入治疗绿色通道运行良好，对救治急危重的急性出血有一定的意义，方法可行，但还需要进一步完善。Objective To explore the feasibility of interventional therapy in the treatment of Easy Access application of acute subarachnoid hemorrhage, and provide the basis for further improving Easy Access construction. Methods Patients in emergency room to the catheterization laboratory analysis of 2010 January to 2014 time of October in our hospital 75 cases of interventional treatment center after Easy Access treatment and 62 cases of non Easy Access treatment of acute subarachnoid hemorrhage （ DTL ） , interventional success rate, family members of patients to provide medical service attitude and way of satisfaction on the medical staff. Results DTL was significantly shortened in Easy Access group than in the non Easy Access group DTL significantly shortened （ P〈0.05 ） , the patient and family satisfaction （ P〈0.05 ） , but also a high incidence of interventional operation was not successful to routine surgical operation of the Easy Access group had significantly lower （ P〈0.05 ） . Conclusions In our hospital with acute subarachnoid hemorrhage interventional therapy Easy Access running good, has certain significance for the treatment of acute and severe, acute hemorrhage method is feasible, but still need fitrther improvement.

关 键 词：急性蛛网膜下腔出血 介入治疗 绿色通道 

分 类 号：R743.35[医药卫生—神经病学与精神病学]