急性缺血性脑卒中急诊急救中国专家共识临床实施效果研究  

STUDY ON EFFECT OF CHINESE EXPERTS’ CONSENSUS ON EMERGENCY TREATMENT OF ACUTE ISCHEMIC STROKE

作　　者：李金香[1] 陈海燕[1] 刘绍芳[1] 李志松[1] 宋丽华[1] LI Jinxiang;CHEN Haiyan;LIU Shaofang;LI Zhisong;SONG Lihua(Hebei Tangshan PeoplesHospital,Tangshan 063001,China)

机构地区：[1]河北省唐山市人民医院急诊科,063001

出　　处：《中国煤炭工业医学杂志》2022年第4期445-448,共4页Chinese Journal of Coal Industry Medicine

基　　金：2019年度河北省医学科学研究课题计划(编号:20191616)。

摘　　要：目的 探讨急性缺血性脑卒中急诊急救中国专家共识在临床应用中的实施效果。方法 选取2016年7月—2018年7月(组1)与2018年8月—2020年8月(组2)“急性缺血性脑卒中急诊急救中国专家共识(2018版)”出台前后各2年在急诊首次就诊的急性缺血性脑卒中患者为研究对象,采用自制调查表以发放问卷的形式进行调查。对比二组中患者及家属的急性缺血性脑卒中的认知度、对卒中早期识别率、拨打电话人数、溶栓知情同意率、急救人员对卒中救治内容的知晓率、卒中救治流程用时情况。结果 组2与组1相比,对急性缺血性脑卒中的认知度、对卒中早期识别率、拨打电话人数、溶栓知情同意率、急救人员对卒中救治内容的知晓率更高,卒中救治流程用时更短,以上差异均有统计学意义(P<0.01)。结论 急性缺血性脑卒中急诊急救中国专家共识的实施,能够优化急性脑卒中的院前及院内急救流程,从而改善临床救治效果。Objective To explore the implementation effect of Chinese expert consensus on emergency first aid for acute ischemic stroke in clinical application.Methods From July 2016 to July 2018(group 1) and from August 2018 to August 2020(group 2) before and after the promulgation of "Chinese Expert Consensus on Emergency First Aid for Acute Ischemic Stroke(2018 Edition)" The patients with acute ischemic stroke who visited the emergency department for the first time in 2 years were selected as the research subjects.The awareness of acute ischemic stroke, the early recognition rate of stroke, the number of telephone calls, the informed consent rate of thrombolysis, the awareness rate of emergency personnel on the content of stroke treatment, and the time of stroke treatment procedures were compared between the two groups.Results Compared with group 1,group 2 had higher awareness of acute ischemic stroke, early recognition rate of stroke, number of telephone calls, informed consent rate of thrombolysis, and emergency staff’s awareness rate of stroke treatment content.The stroke treatment process was shorter, and the above differences were statistically significant(P<0.01).Conclusion The implementation of the Chinese expert consensus on emergency first aid for acute ischemic stroke can optimize the pre-hospital and in-hospital emergency procedures for acute ischemic stroke, thereby improving the clinical treatment effect.

关 键 词：急性缺血性脑卒中 院前急救 院内急救 

分 类 号：R74[医药卫生—神经病学与精神病学]