急性缺血性脑卒中患者急救流程优化的研究进展  

Research progress of emergency procedure optimization in patients with acute ischemic stroke

作　　者：潘三改[1] 

机构地区：[1]天津市急救中心急救三科,天津300011

出　　处：《中国城乡企业卫生》2017年第9期22-25,共4页Chinese Journal of Urban and Rural Enterprise Hygiene

摘　　要：时间对于急性缺血性脑卒中患者至关重要,可直接影响患者的治疗效果及预后效果,发病4.5 h以内给予重组组织型纤溶酶原激活剂静脉溶栓治疗是目前脑血管病指南一致推荐的治疗方案,溶栓越早,开通堵塞血管越快,救治效果越好,可显著减少残疾及改善预后。时间窗是关键,要提高溶栓率,就要缩短患者从发病到接受溶栓治疗的时间。因此,研究目前急性缺血性脑卒中治疗现状,研究脑卒中患者救治过程中相关的院前和院内的延误原因,针对延误原因采取干预措施,有助于建设和规范急性缺血性脑卒中患者发病后连贯的急救救治流程,实现院前、院内的无缝链接达到一体化救治,减少延误时间,加快急救速度,提高溶栓率,提高治疗效果,降低疾病致残率和致死率。The time window is the key to the emergency treatment of patients with acute ischemic stroke,affects the patients＇ treatment and prognosis directly;Recombinant tissue-type plasminogen activator intravenous thrombolytic therapy within 4.5 hours of onset is a consistent treatment regimen,do the thrombolysis treatment earlier,clogging blood vessels will be opened sooner,and treatment effect will be better,which can significantly reduce disability and improve prognosis. Therefore,to study the current status of the treatment of acute ischemic stroke,study the reasons of delay for pre-hospital and in-hospital stroker,take intervention measures according to the cause of delay,they are helpful to construct and standardize the continuous emergency treatment flow after acute ischemic stroke,achieve the pre-hospital and in-hospital seamless link integration process,reduce the delay time,speed up the emergency rate,improve the thrombolysis rate,improve the treatment effect,reduce the morbidity and mortality of the disease.

关 键 词：急性缺血性脑卒中 院前延误 院内延误 无缝链接 

分 类 号：R743.3[医药卫生—神经病学与精神病学]