急性缺血性脑卒中溶栓救治院内流程的研究  

The Study of in-hospital Process of Thrombolytic Therapy for Acute Ischaemic Stroke

作　　者：黄琳明[1] 赖智勇[1] 崔萍[1] 张桂琴[1] 张新高[1] 丁中印[1] HUANG Lin-ming;LAI Zhi-yong;CUI Ping;ZHANG Gui-qin;ZHANG Xin-gao;DING Zhong-yin(Zigong First People's Hospital,Zigong 643000,China)

机构地区：[1]自贡市第一人民医院,四川自贡643000

出　　处：《中国医药指南》2018年第22期19-20,共2页Guide of China Medicine

摘　　要：目的研究完善急性缺血性脑卒中溶栓救治院内流程对治疗效果的影响。方法收集2015年9月至2017年3月在我院接受溶栓治疗的急性缺血性脑卒中患者共30例,分析患者从就诊到溶栓治疗的时间(DNT)、溶栓前及溶栓后7 d的美国国立卫生研究院卒中量表(NIHSS)评分及患者疗效。结果 DNT为(41±17)min,溶栓前患者的NIHSS评分明显高于溶栓后7 d的NIHSS评分,且差异有统计学意义(20.35±5.01 vs 14.38±4.65,P<0.05)。总有效率90%,病死率5%。结论优化院内流程,建立溶栓绿色通道,能够缩短溶栓时间,改善患者的神经功能,值得推广运用。Objective To study the effect of optimizing thrombolytic therapy Process in hospital for acute cerebral ischemic stroke.Methods 30 patients with acute ischemic stroke who received thrombolytic therapy in our hospital from September 2015 to March 2017 were enrolled in this study.The doorto-needle time(DNT),national institute of health stroke scale(NIHSS)score at before thrombolysis therapy and 7 days after thrombolysis therapy and the therapeutic effect were evaluated.Results DNT was(41±17)minutes,the NIHSS score at before thrombolysis therapy was higher than that at 7 days after thrombolysis therapy,the difference had statistical significance(20.35±5.01 vs 14.38±4.65,P<0.05).The total effective rate was 90%,the fatality rate was 5%.Conclusion Optimizing thrombolytic therapy process in hospital and establishing green channel can shorten the time of thrombolysis,improve the patient's neurological function,and has a certain clinical value,which is worth promoting the use.

关 键 词：急性缺血性脑卒中 静脉溶栓 卒中绿色通道 

分 类 号：R743.3[医药卫生—神经病学与精神病学]