铜陵市脑卒中信息化救治网络在急性缺血性脑卒中患者救治中的应用  

Application of information treatment network for acute ischemic stroke patients in Tongling city

作　　者：张惠[1] 张彬[2] 许燕[1] 章羽 ZHANG Hui;ZHANG Bin;XU Yan;ZHANG Yu(Department of Nursing,Tongling Institute of Vocational Technology,Tongling 244000,China;Stroke Center,Tongling People′s Hospital)

机构地区：[1]铜陵职业技术学院护理系,安徽铜陵244000 [2]铜陵市人民医院卒中中心

出　　处：《沈阳医学院学报》2021年第6期517-521,共5页Journal of Shenyang Medical College

基　　金：安徽省2020年高校优秀青年人才支持计划重点项目(No.gxyqZD2020065);安徽省2020年高校自然科学研究重点项目(No.KJ2020A0970);铜陵职业技术学院自然课题(No.tlpt2019NG003);铜陵职业技术学院教研重点项目(No.tlpt2019TK001)。

摘　　要：目的:研究脑卒中信息化救治网络在急性缺血性脑卒中(AIS)患者救治工作中的应用,初步评估其有效性和安全性。方法:采用历史对照研究,对照组为2018年1月至2020年2月采取传统流程转运、接诊及治疗的76例患者,试验组为2020年3月至2020年10月在脑卒中信息化救治网络转运、接诊及治疗的105例患者;比较2组患者的DNT(入院至静脉溶栓时间)、DPT(入院至股动脉穿刺时间)、治疗有效率、死亡率及家属满意度。结果:试验组DPT、DNT时间明显短于对照组(P<0.05)。在治疗24 h和7 d后试验组治疗有效率高于对照组(P<0.05),且试验组出院时和出院后90 d mRS评分低于对照组(P<0.05)。试验组1周后再出血率低于对照组(P<0.05),试验组家属满意度高于对照组(P<0.05)。结论:铜陵市脑卒中信息化救治网络可有效缩短AIS患者就诊及治疗时间、完善AIS治疗流程,明显提高了AIS患者治疗的安全性、有效性及家属满意度。Objective:To investigate the application of stroke information treatment network in the treatment of patients with acute ischemic stroke(AIS),and to initially evaluate its effectiveness and safety.Methods:A historical control study was used.The control group consisted of 76 patients who underwent traditional procedures for transport,admission and treatment from Jan 2018 to Feb 2020,and the experimental group consisted of 105 patients who were transported,admitted and treated by stroke informatization treatment network from Mar 2020 to Oct 2020.Door-to-needle time(DNT),door-to-puncture time(DPT),treatment effectiveness,mortality,and family satisfaction in the two groups were compared.Results:The DPT and DNT in the experimental group were significantly shorter than those in the control group(P<0.05).The treatment efficiency of the experimental group was higher than that of the control group after 24 h and 7 d of treatment(P<0.05).And the 90 d mRS scores of the experimental group at and after discharge were lower than those of the control group(P<0.05).The rate of rebleeding after 1 week of treatment in the experimental group was lower than that in the control group(P<0.05).The satisfaction degree of family members in the experimental group was higher than that in the control group(P<0.05).Conclusion:The stroke information treatment network in Tongling city can effectively shorten the time of AIS patients′visit and treatment,improve the AIS treatment process,and significantly improve the safety,effectiveness and family satisfaction of the treatment.

关 键 词：信息化 绿色通道 急性缺血性脑卒中 

分 类 号：R473.5[医药卫生—护理学]