急诊创新绿色通道入院的急性缺血性脑卒中患者行静脉溶栓的临床价值  

Clinical Value of Intravenous Thrombolysis in Acute Ischemic Stroke Patients Admitted to Emergency Innovative Green Channel

作　　者：陈倩倩 巫庆荣[1] CHEN Qian-qian;WU Qing-rong(Emergency Department,Zhengzhou People’s Hospital,Zhengzhou,Henan,450000,China)

机构地区：[1]郑州人民医院急诊科,河南郑州450000

出　　处：《黑龙江医学》2022年第19期2333-2335,共3页Heilongjiang Medical Journal

摘　　要：目的:探讨急诊创新绿色通道入院的急性缺血性脑卒中患者行静脉溶栓的临床价值。方法:选取2019年1月-2021年1月郑州人民医院收治的60例需要静脉溶栓治疗的急性缺血性脑卒中患者作为研究对象,将2019年1月-2020年1月创新绿色通道前入院的25例患者分为对照组,将2020年1月-2021年1月创新绿色通道后入院的35例患者分为对照组,对比两组患者的临床治疗效果,治疗前后的MRS评分与NIHSS评分,溶栓治疗时间(DNT)与住院时间。结果:观察组患者治疗总有效率明显高于对照组,差异有统计学意义(χ^(2)=5.681,P<0.05);治疗后,两组患者MRS评分与NIHSS评分均降低,且观察组低于对照组,差异有统计学意义(t=4.077、4.536,P<0.05);观察组患者DNT明显低于对照组,且基本符合标准时间,观察组患者住院时间明显低于对照组,差异有统计学意义(t=2.475、5.202、3.100、3.697、3.229,P<0.05)。结论:对急诊收治的急性缺血性脑卒中静脉溶栓治疗患者进行创新绿色通道入院流程,能够缩短DNT,提高患者的治疗效果,减轻疾病严重程度,促进患者早日恢复健康。Objective:To explore the clinical value of intravenous thrombolysis in acute ischemic stroke patients admitted to the emergency innovative green channel.Methods:A total of 60 patients with acute ischemic stroke who needed intravenous thrombolysis in the hospital from January 2019 to January 2021 were selected as the research subjects.The 25 patients admitted to the hospital from January 2019 to January 2020 before the innovation of the green channel were divided into the control group,and the 35 patients admitted to the hospital after the innovation of the green channel from January 2020 to January 2021 were divided into the control group.The clinical treatment effect,MRS score and NIHSS score before and after treatment,thrombolytic therapy time(DNT)and hospitalization time were compared between the two groups.Results:The total effective rate of patients in the observation group was significantly higher than that in the control group,and the difference was statistically significant(χ^(2)=5.681,P<0.05).After treatment,the MRS scores and NIHSS scores of the two groups were decreased,and the observation group was lower than the control group,and the difference was statistically significant(t=4.077,4.536,P<0.05).The DNT of the observation group was significantly lower than that of the control group,and basically met the standard time.The hospitalization time of the observation group was significantly lower than that of the control group,and the difference was statistically significant(t=2.475,5.202,3.100,3.697,3.229,P<0.05).Conclusion:The innovative green channel admission process for acute ischemic stroke patients admitted to the emergency department under intravenous thrombolysis therapy can shorten DNT,improve the treatment effect of patients,reduce the severity of the disease,and promote the early recovery of patients.

关 键 词：急诊创新绿色通道 急性缺血性脑卒中 静脉溶栓 入院流程 

分 类 号：R743[医药卫生—神经病学与精神病学]