摘要
目的分析在急性缺血性脑卒中的治疗中,通过卒中中心急诊绿色通道静脉溶栓治疗的临床效果。方法选取我院于2020年1月至2021年1月收治的患者300例进行分析,其中2020年1~6月收治的患者150例于卒中中心急诊绿色通道建立前进行治疗作为对照组,2020年7月至2021年1月收治的150例患者于卒中中心急诊绿色通道建立后进行治疗作为本次研究观察组。对比两组患者的治疗情况。结果观察组患者入院后2h、3.5h的静脉溶栓率明显比对照组高,4.5h溶栓率比对照组低(P<0.05);观察组入院至rt-PA溶栓治疗时间(DNT)明显比对照组短(P<0.05);观察组患者入院后2h、3.5h、4.5h的NIHSS评分明显比对照组低(P<0.05);观察组的治疗总有效率明显比对照组患者高,病死率及复发率比对照组低(P<0.05)。结论通过卒中中心急诊绿色通道的建设,能为患者提供更加及时、有效的静脉溶栓治疗,有助于促进溶栓效果的提升,减少患者的溶栓治疗等待时间,效果显著。
Objective To analyze the clinical effect of green channel intravenous thrombolysis in the treatment of acute ischemic stroke.Methods Three hundred patients were selected from our hospital from January 2020 to January 2021 to analyze.One hundred and fifty patients who were treated from January 2020 to June 2020 were treated before the establishment of green channel in the emergency department of stroke center as control group.One hundred and fifty patients who were treated from July 2020 to January 2021 were treated after the emergency green channel was established in the center of death as the observation group.The treatment of the two groups was compared.Results The intravenous thrombolysis rate of the observation group at 2 h and 3.5 h after admission was significantly higher than that of the control group,and the thrombolysis rate at 4.5 h was lower than that of the control group(P<0.05).The time from admission to RT PA thrombolytic therapy(DNT)in the observation group was significantly shorter than that in the control group(P<0.05).The NIHSS scores at 2 h,3.5 h and 4.5 h after admission in the observation group were significantly lower than those in the control group(P<0.05).The total effective rate of the observation group was significantly higher than that of the control group,and the mortality and recurrence rate were lower than those of the control group(P<0.05).Conclusion Through the construction of emergency green channel in stroke center,it can provide patients with more timely and effective intravenous thrombolytic therapy,help to promote the improvement of thrombolytic effect,reduce the waiting time of thrombolytic therapy,and the effect is significant.
作者
刘文秀
LIU Wen-xiu(Emergency Department,Qujing First People’s Hospital,Qujing,Yunnan 655000)
出处
《智慧健康》
2021年第25期51-53,共3页
Smart Healthcare
