急性脑梗死再灌注治疗管理模式研究  

Management Mode of Acute Ischemic Stroke Reperfusion Therapy

作　　者：张文一[1] 李帅 毛丽[1] 郑超[1] 张璇[1] ZHANG Wenyi;LI Shuai;MAO Li(Medical Innovation Research Department,Hospital Management Research Institute,PLA General Hospital,Beijing,100048.China;不详)

机构地区：[1]解放军总医院医学创新研究部医院管理研究所,北京100048 [2]陆军第72集团军教导大队,浙江湖州313000

出　　处：《中国卫生质量管理》2022年第5期29-33,共5页Chinese Health Quality Management

摘　　要：急性脑梗死发病率高、致残率高、致死率高,如何有效防治是医院管理的难题。某大型医院对急性脑梗死再灌注治疗管理模式进行了探索,搭建了救治绿色通道,组建了基于移动端的多学科协同诊疗模式,构建了急诊区域标准化诊疗路径,并应用科学的评价指标体系进行全流程监测,规范了急性脑梗死急救流程,推动了急性脑梗死再灌注治疗的规范化、标准化、系统化,显著提高了患者救治效率。但在院前急性脑梗死高危人群早期识别、院内急性脑梗死抢救过程质量监控等方面还需持续改进。Acute Ischemic Stroke(AIS)has high incidence,high disability rate and high fatality rate.How to effectively prevent and cure AIS is a difficult problem for hospital management.One largescale hospital explored the management mode for the reperfusion treatment of AIS,set up the treatment for the green channel,constructed multidiscipli nary collaborative diagnosis mode based on the mobile end,built the emergency path of standardized diagnosis and treat ment,and applied scientific evaluation index system of the whole process monitoring,standardized emergency process for AIS.It had promoted the standardization and systematization of AIS reperfusion treatment,and significantly improved the treatment efficiency of patients.However,continuous improvement was needed in early recognition in pre-hospital AIS high-risk groups and quality monitoring of in-hospital AIS rescue process.

关 键 词：急性脑梗死 再灌注治疗 急救 专病管理 医疗质量 

分 类 号：R743.3[医药卫生—神经病学与精神病学] R197.323[医药卫生—临床医学]