急诊绿色通道对急性缺血性脑卒中静脉溶栓治疗效果的影响  

Effect of Emergency Green Channel on Intravenous Thrombolytic Therapy for Acute Ischemic Stroke

作　　者：吴秀清 周敬华[1,2] 张强[1,2] 汪雷[1,3] 龙兵[1] Wu Xiuqing;Zhou Jinghua;Zhang Qiang;Wang Lei;Long Bing(Institute of Neurology,China Three Gorges University,Yichang 443003,China;Department of Neurology,Yichang Central people's Hospital,The First College of Clinical Medical Science,China Three Gorges University,Yichang 443003,China;Department of Neurosurgery,Yichang Central people's Hospital,The First College of Clinical Medical Science,China Three Gorges University,Yichang 443003,China)

机构地区：[1]三峡大学神经病学研究所,湖北宜昌443003 [2]三峡大学第一临床医学院[宜昌市中心人民医院]神经内科,湖北宜昌443003 [3]三峡大学第一临床医学院[宜昌市中心人民医院]神经外科,湖北宜昌443003

出　　处：《巴楚医学》2020年第1期15-18,共4页Bachu Medical Journal

基　　金：湖北省卫生计生西医类一般项目(No.WJ2015MB264)。

摘　　要：目的:观察急诊绿色通道对急性缺血性脑卒中的静脉溶栓治疗效果的影响。方法:本研究共纳入170例急性缺血性脑卒中且接受静脉溶栓治疗的患者为研究对象。2016年8月~2017年7月我院急诊绿色通道设立前的37例为对照组;2017年8月~2018年7月于我院急诊绿色通道设立后的133例为观察组。对照组按常规就诊流程,观察组按绿色通道流程。比较两组患者从急诊就诊到静脉溶栓时间(DNT)、住院时间、静脉溶栓后7 d美国国立卫生研究院卒中量表(NIHSS)评分,改良RANKIN量表(mRS)评分以及并发症发生情况。结果:与对照组相比,观察组的DNT时间、住院时间明显缩短,静脉溶栓后7 d NIHSS评分和mRS评分明显降低(均P<0.05),但并发症发生率较对照组无明显差异(P>0.05)。结论:急诊绿色通路应用于静脉溶栓治疗急性缺血性脑卒中临床效果确切,有助于改患者预后,提高患者的生存质量。Objective:To observe the effect of emergency green channel on intravenous thrombolytic therapy for acute ischemic stroke.Methods:A total of 170 patients with acute ischemic stroke received intravenous thrombolysis were enrolled in this study.There were 37 cases from August 2016 to July 2017 before the establishment of emergency green channel selected as the control group,while 133 patients from August 2017 to July 2018 after the establishment of emergency green channel selected as the observation group.The patients in control group were treated with the routine procedure.However,the patients in the observation group were subjected to the green channel procedure.The time from emergency to intravenous thrombolysi(DNT),hospital stays,the National Institute of Health stroke scale(NIHSS)score and the modified Rankin scale(mRS)at 7 days after intravenous thrombolysis,as well as the incidence of complications were compared between two groups.Results:Compared with the control group,DNT and hospital stays were significantly shortened,NIHSS score and mRS score at 7 days after intravenous thrombolysis were notably reduced in the observation group(all P<0.05).However,there was no significant difference in the incidence of complications between the observation group and the control group(P>0.05).Conclusion:Cases of acute ischemic stroke with intravenous thrombolysis in application of emergency green channel could get better clinical benefits,which may improve the prognosis and life quality in future.

关 键 词：急诊绿色通道 急性缺血性脑卒中 静脉溶栓 

分 类 号：R320.54[医药卫生—人体解剖和组织胚胎学]