卒中中心时间节点管理对急性缺血性脑卒中患者预后的影响

Effect on time node management of stroke center in prognosis of patients with acute ischemic stroke

目的探讨卒中中心时间节点管理对急性缺血性脑卒中患者预后的影响。方法将我院急诊科2016年1-12月收治的113例急性缺血性脑卒中患者设为对照组,2017年1-12月收治的163例急性缺血性脑卒中患者设为观察组。对照组采用传统救治模式,观察组采用时间节点管理,比较两组患者急诊救治各个环节所用时间、闭塞血管再通率、48 h内病死率、致残率。结果观察组到院评估时间、急诊CT检查时间、急诊CT报告出具时间、专科医师会诊时间、检验报告时间、到院至静脉溶栓时间均短于对照组(P <0. 05)。观察组闭塞血管再通率高于对照组(P <0. 05),48 h内病死率、致残率均低于对照组(P <0. 05)。结论我院卒中中心对急性缺血性脑卒中患者按时间节点管理,能有效缩短诊疗延误时间,降低病死率,改善预后。

Objective To explore the effect of time node management of stroke center in prognosis of patients with acute ischemic stroke. Methods To select 113 cases of patients with acute ischemic stroke treated in our emergency department from January to December 2016 as the control group,and 163 cases of patients with acute ischemic stroke treated from January to December 2017 as the observation group. The control group adopted the traditional rescue mode,and the observation group adopted the time node management. The time spent in each step of emergency treatment,the recanalization rate of occlusion vessel,mortality and disability within 48 hours were compared between the two group. Results The assessment time to hospital,time of emergency CT examination,time of emergency CT report to issue,time of specialist consultation,time of examining and waiting for report,and time of venous thrombolysis in the observation group were all shorter than those in the control group( P < 0. 05). The recanalization rate of occlusion vessel in the observation group was higher than that in the control group( P < 0. 05). The mortality and disability within 48 hours in the observation group were lower than those in the control group( P < 0. 05). Conclusion The time node management of stroke center in our hospital for patients with acute ischemic stroke could effectively shorten the delay of diagnosis and treatment,reduce the mortality and improve the prognosis.