急诊脑卒中绿色通道对急性缺血性卒中患者DNT的影响  

Effect of Emergency Green Channel on Door⁃to⁃Needle Time in Patients with Acute Ischemic Stroke

作　　者：吴满辉[1] 林小鸿[1] 黄云苑 蒋龙元[1] WU Man-hui;LIN Xiao-hong;HUANGYun-yuan;JIANG Long-yuan(Department of Emergency,Sun Yat-sen Memorial Hospital of Sun Yat-sen University,Guangzhou,510120)

机构地区：[1]中山大学孙逸仙纪念医院急诊科,510120

出　　处：《岭南急诊医学杂志》2020年第6期562-564,共3页Lingnan Journal of Emergency Medicine

摘　　要：目的:探讨急诊脑卒中绿色通道对急性缺血性卒中(AIS)患者DNT的影响.方法:以2019年1月至12月中山大学孙逸仙纪念医院行紧急静脉阿替普酶溶栓的19例AIS患者为研究对象.其中观察组12例按照急诊脑卒中通绿色通道流程处理,对照组7例按照急诊常规流程处理.比较两组间完成初步诊断、完成头颅CT扫描、完成溶栓知情谈话及到达急诊至静脉溶栓时间(DNT).结果:观察组的初步诊断时间[(2.75±1.86)min vs(12.42±10.69)min,P<0.05]、完成头颅CT扫描时间[(7.17±4.34)min vs(12.86±7.13)min,P<0.05]和DNT[(59.5±16.07)min vs(85.6±36.61)min,P<0.05]均明显短于对照组,两组完成溶栓知情谈话时间无统计学差异[(29.41±12.70)min vs(32.71±34.58)min,P>0.05].结论:急诊卒中绿色通道有助于缩短DNT,对急诊绿色通道的具体环节做出明确时间限定,可能更有利于缩短DNT.Objective:To explore the effect of emergency green channel on Door⁃to⁃Needle Time(DNT)in patients with acute ischemic stroke(AIS).Methods:A total of 19 patients with AIS admitted to the Department of Emergency from Jan 2019 to Dec 2019 were enrolled.Among them,12 patients used green channel were categorized into the observa⁃tion group,the remaining 7 patients did not use green channel were selected as the control group.In the control group,intravenous thrombolytic therapy with Alteplase was provided after routine diagnosis and treatment,while in the observa⁃tion group,intravenous thrombolysis of A1teplase was used after opening the green channel.The clinical data of the pa⁃tients were retrospectively analyzed.The definite diagnosis time,time of head CT scan,time of consent for thrombolysis and DNT were compared in the two groups.Results:The time of definite diagnosis[(2.75±1.86)min vs(12.42±10.69)min,P<0.05],time of head CT scan[(7.17±4.34)min vs(12.86±7.13)min,P=0.043]and DNT[(59.5±16.07)min vs(85.6±36.61)min,P<0.05]were significantly shorter in the observation group than those in the control group.Time of consent for thrombolysis between the two groups had no statistically difference[(29.41±12.70)min vs(32.71±34.58)min,P>0.05].Conclusions:Emergency green channel may help to shorter DNT in patients with AIS.

关 键 词：急诊绿色通道 缺血性脑卒中 阿替普酶 静脉溶栓 

分 类 号：R743.3[医药卫生—神经病学与精神病学]