基于信息化智能平台的绿色通道在急性脑卒中急诊救护中的价值研究  

Research on the value of green channel based on information intelligent platform in emergency rescue of acute stroke

作　　者：杜晓欢 白淑玲 柯小娥 冯晶 DU Xiao-huan;BAI Shu-ling;KE Xiao-e(Central Sterile Supply Department,The 986 Air Force Hospital,Xian 710054,China.)

机构地区：[1]空军第九八六医院消毒供应室,陕西西安710054 [2]空军第九八六医院护理部,陕西西安710054

出　　处：《中国医学装备》2023年第2期127-130,共4页China Medical Equipment

摘　　要：目的:构建基于信息化智能平台的绿色通道,探讨其在急性脑卒中患者急诊救护中的应用价值。方法:建立急救信息化智能平台,从急救转运、急诊预检分诊和救治流程构建信息化智能平台绿色通道。选取医院急诊收治的80例急性脑卒中患者,按随机双盲法将其分为对照组和观察组,每组40例,对照组采用传统急救模式,观察组在对照组急救方案基础上采用信息化智能平台的绿色通道进行救治,比较两组患者救治全过程用时、救治效率及溶栓情况。结果:观察组救治过程中就诊至初步评估、分诊、就诊至卒中医师就诊、就诊至CT检查以及就诊至溶栓和(或)血管内介入所用时间分别为(4.10±0.82)min、(0.86±0.21)min、(12.05±2.35)min、(15.65±2.47)min和(48.48±9.65),且均少于对照组,组间差异有统计学意义(t=14.870,t=28.839,t=34.315,t=18.585,t=8.348;P<0.05);观察组静脉溶栓率、提前通知准备抢救率、提前病情告知率、提前急救设备准备率和交接时体征告知率分别为90%、87.50%、87.50%、90%和95%,且均高于对照组,血管介入率为10%,低于对照组,组间差异有统计学意义(χ^(2)=9.600,χ^(2)=6.667,χ^(2)=7.813,χ^(2)=5.000,χ^(2)=12.624,χ^(2)=9.600;P<0.05);观察组溶栓24 h神经缺损国立卫生研究院卒中量表(NIHSS)评分为(4.15±1.36)min,低于对照组,组间差异有统计学意义(t=8.371,P<0.05)。结论:信息化智能平台的绿色通道的构建与应用可缩短患者急诊至溶栓时间,使患者得到尽快救治,增加溶栓有效率,并实现救治信息共享。Objective: To construct a green channel based on information intelligent platform and to explore its application value in emergency rescue of patients with acute stroke. Methods: An intelligent information platform for first aid was established, and a green channel of the intelligent information platform was constructed from the process of first aid transport, emergency pre-examination triage and treatment. A total of 80 patients with acute stroke admitted to the emergency department of the hospital were selected and divided into control group and observation group according to the randomized double-blind method, with 40 cases in each group. The control group adopted traditional first aid mode, and the observation group adopted the green channel of the information intelligent platform on the basis of the control group for treatment. The treatment process, treatment efficiency and thrombolysis situation were compared between two groups of patients. Results: The time required from treatment to initial assessment,triage, treatment to stroke physician, treatment to CT examination, treatment to thrombolysis and/or intravascular intervention in the observation group were(4.10±0.82)min,(0.86±0.21)min,(12.05±2.35)min and(15.65±2.47)min,and(48.48±9.65) min, respectively, which were shorter than the those in control group, the difference was statistically significant(t1=14.870, t2=28.839, t3=34.315, t4=18.585, t5=8.348;P<0.05). The rate of intravenous thrombolysis,the rate of advance notification preparation for rescue, the rate of advance disease notification, the rate of advance emergency equipment preparation and the rate of physical signs notification at handover in the observation group were 90%, 87.50%, 87.50%, 90% and 95%, respectively, which were higher than those in the control group, and the rate of vascular intervention was 10%, which was lower than that in the control group, the difference was statistically significant(x1~2=9.600, χ^(2)~2=6.667, x3~2=7.813, x4~2=5.000, x5~2=12.624, x6~2=9.600;P<0.05). The

关 键 词：信息化智能平台 绿色通道 急性脑卒中 神经功能 救治成功率 

分 类 号：R651.1[医药卫生—外科学]