摘要
目的探讨内蒙古卒中地图发布和内蒙古自治区人民医院急诊绿色通道优化对急性缺血性脑卒中溶栓的影响。方法筛选2017年1月至2019年12月以来就诊于该院的593例急性缺血性脑卒中溶栓患者,对每年时间窗内到院患者人数进行统计,并对静脉溶栓率、院内时间延误的变化趋势、溶栓与居住地相关性及首诊地点与溶栓率相关性进行分析。结果研究组静脉溶栓时间中位数为58 min,低于对照组的89 min,差异有统计学意义(P=0.001)。研究组静脉溶栓时间达标比率为58.95%,对照组为29.29%,差异有统计学意义(P>0.05)。但3.5 h内入院患者比较,差异无统计学意义(P>0.05)。静脉溶栓率由2018年的6.80%上升为2019年的7.20%,同时发现呼和浩特市周边旗县村镇居民超早期脑卒中患者溶栓率低,院前延误明显延长,与呼和浩特市内居民比较,差异有统计学意义(P<0.05),但首诊地点与溶栓率无明显相关(P>0.05)。结论进一步着眼优化溶栓流程,探讨针对性地减少院前、院内延误的具体措施,对呼和浩特市急性缺血性脑卒中溶栓治疗有一定指导意义。
Objective To investigate the effects of the Inner Mongolia stroke map and optimization of emergency green channel in Inner Mongolia Autonomous Region on thrombolytic therapy for acute ischemic stroke.Methods A total of 593 patients with acute ischemic stroke who were treated with thrombolytic therapy from January 2017 to December 2019 were screened,and the number of patients who were admitted to the hospital within the annual time window was statistically analyzed.The rate of intravenous thrombolysis,the trend of time delay in hospital,the correlation between thrombolysis and residence,and the correlation between the place of first diagnosis and thrombolysis rate were analyzed.Results The median intravenous thrombolysis time in the study group was 58 min,which was lower than 89 min in the control group,and the difference between the two groups was statistically significant(P=0.001).The rates of reaching the standard time of intravenous thrombolysis were 58.95%in the study group and 29.29%in the control group,the difference was statistically significant(P>0.05).However,no significant differences were observed among hospitalized patients within 3.5 hours(P>0.05).The rate of intravenous thrombolysis was increased from 6.80%in 2018 to 7.20%in 2019.It was also found that the thrombolysis rate of ultra-early stroke patients in the Qixian town surrounding Hohhot was low,and the pre-hospital delay was significantly prolonged,with a statistically significant difference compared with that of Hohhot residents(P<0.05),but no significant correlation was observed between the location of first diagnosis and the thrombolysis rate(P>0.05).Conclusion Further focus on the optimization of thrombolytic process,to explore specific measures to reduce the delay before and in hospital,for acute ischemic stroke thrombolytic therapy in Hohhot has a certain guiding significance.
作者
刘莺
罗嘉欣
敖其
高瑞江
朱润秀
袁军
LIU Ying;LUO Jiaxin;AO Qi;GAO Ruijiang;ZHU Runxiu;YUAN Jun(Department of Neurology,People′s Hospital of Inner Mongolia Autonomous Region,Hohhot 010017,China;Inner Mongolia Medical University(Inner Mongolia Clinical Medical College),Hohhot010017,China)
出处
《中国现代医生》
2021年第33期58-61,共4页
China Modern Doctor
基金
内蒙古自治区人民医院院内科研基金资助项目(2021YN10)。
关键词
优化急诊绿色通道
急性缺血性脑卒中
静脉溶栓
静脉溶栓时间
Optimizing emergency green channel
Acute ischemic stroke(AIS)
Intravenous thrombolysis(IVT)
Intravenous thrombolysis time
