一站式卒中救治平台的构建及应用  

Establishment and application of the one-stop multi-mode stroke rescue platform

作　　者：赵婧革 李天晓[2] 朱良付[2] 崔英杰[3] 栗超跃[2] 梁新亮[4] Zhao Jingge;Li Tianxiao;Zhu Liangfu;Cui Yingjie;Li Chaoyue;Liang Xinliang(Clinical Research Service Center,Henan Provincial People's Hospital,Zhengzhou 450003,China;Department of Cerebrovascular Disease,Henan Provincial People's Hospital,Zhengzhou 450003,China;Emergency Department,Henan Provincial People's Hospital,Zhengzhou 450003,China;Department of Public Service Development,Henan Provincial People's Hospital&Henan Province Engineering Research Center of Technology Research and Application of Telemedicine Service,Zhengzhou 450003,China)

机构地区：[1]河南省人民医院临床科研服务中心,郑州450003 [2]河南省人民医院脑血管病医院,郑州450003 [3]河南省人民医院急诊科,郑州450003 [4]河南省人民医院公共事业发展部河南省远程医疗诊治技术研发与应用工程研究中心,郑州450003

出　　处：《中华医院管理杂志》2022年第5期351-356,共6页Chinese Journal of Hospital Administration

基　　金：河南省医学科技攻关计划软科学项目(RKX202102004)。

摘　　要：卒中救治具有时效性强、复杂性高的特点,最大限度缩短院前、院中救治时间是提高卒中救治效率、降低患者致残率的关键。2017年12月,某三级甲等医院启动了一站式卒中救治平台建设,该平台以多模态影像融合手术室为核心,实施集急诊接诊、影像检查、静脉溶栓、机械取栓、术后评估等救治服务于一体的院前、院中和院后无缝衔接的一站式救治模式,极大优化了卒中救治物理路径。为确保平台高效、有序运行,医院采取了多学科融合、院前院中一体化建设、区域性卒中救治网络搭建等一系列保障措施。自2019年9月平台投入使用以来,截至2021年12月,累计救治患者1000余人。一站式卒中救治平台的应用有效提高了卒中救治效率,引领了区域卒中救治体系发展,为提高我国卒中救治能力和管理水平提供参考。Stroke rescue features strong time sensitivity and high complexity.Minimizing the time of consumption in pre-hospital and in-hospital stroke rescue is key to improve stroke rescue efficiency and reduce the disability rate.In December 2017,a tertiary hospital launched the construction of a one-stop stroke rescue platform.This platform was centered on"multi-mode image fusion operating room",operating as a one-stop rescue mode integrating emergency admission,imaging examination,intravenous thrombolytic therapy,mechanical thrombolytic therapy,postoperative evaluation,and so on.The seamless convergence workflow of pre-hospital,in-hospital and post-hospital could effectively optimize the physical rescue pathway.In order to ensure the efficient and orderly operation of the platform,the hospital adopted such measures as multidisciplinary integration,pre-hospital and in-hospital integration construction,and regional stroke care network.Since its operation in September 2019,the platform has treated more than 1000 patients by December 2021.The application of the platform had effectively improved the efficiency of stroke rescue,led the development of regional stroke rescue system,and provided the reference for raising the stroke rescue capacity and management level in China.

关 键 词：卒中 一站式 救治平台 诊疗模式 保障措施 

分 类 号：R743.3[医药卫生—神经病学与精神病学]