静脉溶栓给药前移方法在急性缺血性脑卒中患者治疗中的应用

Preposition of intravenous thrombolysis process in the treatment for patients with acute ischemic stroke

目的探讨将静脉溶栓给药地点从卒中病房前移至急诊科在急性缺血性脑卒治疗中的效果。方法采用目的抽样法，2014年6月—2016年12月，选取首都医科大学宣武医院392例缺血性脑卒中患者为研究对象，其中2014年6月—2015年6月静脉溶栓治疗150例患者为对照组，2015年7月—2016年12月静脉溶栓治疗242例患者为试验组。对照组在卒中病房给予患者静脉溶栓药物，试验组在急诊科给予患者静脉溶栓药物，比较从患者到达医院急诊至静脉溶栓用药时间（DNT）。结果 试验组DNT为（49.74±12.61）min，对照组DNT为（114.95±29.48）min，两组比较差异有统计学意义（t=16.659，P〈0.001）。结论将静脉溶栓给药前移至急诊科可缩短DNT。

ObjectiveTo discuss the effect of preposition of intravenous thrombolysis from ward to emergency in the treatment for patients with acute ischemic stroke.Methods A total of 392 patients with ischemic stroke in Xuanwu Hospital Capital Medical University from June 2014 to December 2016 were selected in the study. The control group contained 150 cases treated from June 2014 to June 2015, while the experimental group included 242 cases treated from July 2015 to December 2016. Patients in the control group were given intravenous thrombolysis in the ward, and patients in the experimental group received intravenous thrombolysis in the emergency. The Door-to-Needle Time （DNT） were compared between two groups.ResultsThe DNT were （49.74±12.61） min in the experimental group and （114.95±29.48） min in the control group. The difference between two groups was statistically significant （t=16.659, P〈0.001） .ConclusionsThe preposition of intravenous thrombolysis from ward to emergency can shorten the DNT.