完善改进绿色通道对急性缺血性卒中患者溶栓率影响的研究

Study on the significance of establishment of green pathway for raising the rate of intravenous thrombolysis in patients with acute ischemic stroke

目的观察完善院内绿色通道对缩短急性缺血性卒中(AIS)患者从入院到溶栓治疗的时间(DNT)及溶栓率的影响。方法统计2013年1月以来于该院就诊的AIS患者,对总体溶栓率,时间窗内患者溶栓率及DNT进行分析,比较绿色通道完善前后溶栓率及DNT变化情况。结果绿色通道完善改进后,于该院就诊的AIS患者的溶栓率(7.56%)较绿色通道完善改进前(0.62%)明显增加,DNT持续缩短(108 min vs.53 min)。结论通过整改绿色通道流程,可使溶栓率显著提高。证明在院前延误严重,溶栓率较低的地区,完善院内绿色通道,是提高AIS患者溶栓率的重要措施。

Objective To observe the establishment of green pathway in shortening the duration from admission to intravenous thrombolysis and the influence on intravenous thrombolytic rate of patients with acute ischemic stroke（ AIS） in this hospital. Methods Patients with AIS in this hospital since January 2013 were screened for the rate of intravenous thrombolysis in patients within the time window and the time for intravenous thrombolysis. The outcome had been compared before and after the establishment of green pathway. Results After establishment of green pathway,the rate of intravenous thrombolysis had been significantly raised from 0. 62% to 7. 56% and the duration from admission to intravenous thrombolysis was significantly shortened from 108 minutes to 53 minutes. Conclusion The improvement in establishing green pathway,can significantly raise the thrombolytic rate in patients with acute ischemic stroke in this hospital. Hence it is important to complete the green pathway in the hospital,and it is an important measure for raising the rate of thrombolysis in patients with acute ischemic stroke（ AIS）.