品管圈对缩短急性缺血性卒中患者静脉溶栓治疗院内延误时间的作用

Influence of quality control circle on the hospital delay time in patients with acute ischemic stroke

目的:探讨品管圈对缩短急性缺血性卒中患者静脉溶栓治疗院内延误时间的作用。方法:收集2017-03—2017-10期间我院急诊纳入绿色通道的缺血性卒中患者140例,按随机法分为对照组70例,采用常规流程救治;观察组70例,采用品管圈优化流程救治。以静脉溶栓成功率、入院至治疗时间(DNT)达标率、入院至评估时间、入院至获得影像结果时间、入院至获得实验室结果时间以及入院至治疗中位数时间为指标,比较俩组数据差异。结果:观察组患者静脉溶栓成功率及DNT达标率明显高于对照组(P<0.05),入院至治疗中位数时间、入院至评估时间、入院至获得影像结果时间明显短于对照组(P<0.05),入院至获得实验室结果时间差异无统计学意义(P>0.05)。结论:通过实施品管圈活动优化了绿色通道流程,使患者静脉溶栓成功率及DNT达标率明显提高,可有效减少院内治疗延误时间。

Objective：To explore the influence of quality control circle（QCC）on shortening the hospital delay time for starting intravenous thrombolytic therapy in patients with acute ischemic stroke（AIS）.Method：From March 2017 to October 2017,70 AIS patients without QCC in our hospital were selected as the control group,and70 patients with QCC were selected as the observation group.The success rate of thrombolytic therapy and the time for door to needle（DNT）,evaluation,image,andlaboratory test were observed and compared between two groups.Result：The success rate of thrombolytic therapy was significantly higher in observation group than that in control group（P〈0.05）.In observation group,the time for door to needle,evaluation and image was significantly shorter than those in control group（P〈0.05）.And there was no significant difference in the timefor door to laboratory test between the two groups（P〉0.05）.Conclusion：The application of QCC can optimize the process of thrombolytic therapy,shorten the DNT time and improve the success rate of thrombolytic therapy.It can effectively reduce the delay time of hospital treatment of AIS patients.