院前院内信息一体化系统治疗脑卒中患者综合效果评价  

Evaluation on the Comprehensive Effect of Pre-hospital and In-hospital Information Integration System in the Treatment of Stroke Patients

作　　者：陈莉 肖芳 魏敦双 邹勇[2] CHEN Li;XIAO Fang;WEI Dunshuang;ZOU Yong(The Third People’s Hospital of Hubei Province,Wuhan 430033,China;不详)

机构地区：[1]湖北省第三人民医院,湖北武汉430033 [2]武汉市急救中心

出　　处：《中外医学研究》2019年第36期179-181,共3页CHINESE AND FOREIGN MEDICAL RESEARCH

基　　金：武汉市卫生计生委科研计划资助项目（项目编号：WX18D43）

摘　　要：目的:评价院前院内信息一体化系统治疗脑卒中患者综合效果。方法:选择2018年7月-2019年2月笔者所在卒中中心利用院前院内一体化平台收治的脑卒中患者90例为观察组,以2018年1-6月常规急救治疗下的脑卒中患者53例为对照组。比较两组患者溶栓或介入治疗率、就诊至开始溶栓时间(DNT)、院内急救时间、住院时间、治疗前后NIHSS评分、并发症发生率及死亡率。结果:观察组静脉溶栓治疗率高于对照组,差异有统计学意义(P<0.05)。两组患者血管介入、溶栓桥接血管内介入率比较,差异无统计学意义(P>0.05)。观察组DNT时间明显短于对照组,差异有统计学意义(P<0.01)。两组DNT<30 min占比比较,差异无统计学意义(P>0.05)。两组治疗后NIHSS评分均优于治疗前,且观察组优于对照组,差异有统计学意义(P<0.01)。观察组脑疝、消化道出血、呼吸衰竭、心力衰竭、神经功能后遗症发生率、死亡率均低于对照组,差异有统计学意义(P<0.05)。结论:通过院前院内信息一体化系统建立一站式救护团队,可明显降低脑卒中患者死亡率、致残率,最大限度提高了急救水平。Objective:To evaluate the comprehensive effect of pre-hospital and in-hospital information integration system in the treatment of stroke patients.Method:From July 2018 to February 2019,90 stroke patients admitted in our stroke center treated on the pre-hospital and in-hospital integrated platform were selected as the observation group,and 53 stroke patients under routine emergency treatment from January to June 2018 were taken as the control group.The rates of thrombolytic or intervention therapy,door to needle time(DNT),hospital emergency treatment time and hospitalization time,NIHSS score,complication rate and mortality before and after treatment were compared between the two groups.Result:The rate of intravenous thrombolytic in the observation group was higher than that in the control group,and the difference was statistically significant(P<0.05).There was no statistically significant difference in the rates of vascular intervention and thrombolytic bridge intravascular intervention between the two groups(P>0.05).DNT time in the observation group was significantly shorter than that in the control group,the difference was statistically significant(P<0.05).There was no significant difference in the proportion of DNT<30 min between the two groups(P>0.05).The NIHSS score of the two groups after treatment was better than that before treatment,and the observation group was better than the control group,the difference was statistically significant(P<0.01).The brain hernia,digestive tract hemorrhage,respiratory failure,heart failure,neurological complications and mortality in the observation group were lower than those in the control group,the differences were statistically significant(P<0.05).Conclusion:Through the prehospital and in-hospital information integration system and the establishment of one-stop rescue team can significantly reduce the mortality and disability rate of stroke patients,and the level of emergency treatment can be maximized.

关 键 词：院前院内信息一体化系统 脑卒中 并发症 综合疗效 

分 类 号：R743.3[医药卫生—神经病学与精神病学]