大亚湾及周边地区建立卒中网络及区镇级基层医疗机构应急响应机制

Establishing a Stroke Network in Daya Bay and Surrounding Areas

目的探讨建立大亚湾及周边地区卒中网络及区镇级基层医疗机构应急响应机制的可行性。方法按照卒中网络及区镇级基层医疗机构应急响应机制时实施前后,将2017年5月—2018年5月大亚湾及周边地区某基层医院45例患者纳入到实施前组,将2018年6月—2019年5月划分到实施后组,比较实施前后患者致残率、死亡率、神经缺损功能、日常生活能力。结果建立卒中网络及应急响应机制前的致残率及死亡率均高于建立卒中网络及应急响应机制后(P<0.05);建立卒中网络及应急响应机制前的患者神经功能缺损评分及日常生活能力均较建立后有所改善(P<0.05)。结论建立卒中网络及区镇级基层医疗机构应急响应机制,能有效降低大亚湾及周边地区患者的病死率、致残率,有利于患者的康复。

Objective To explore the feasibility of establishing a stroke network in Daya Bay and surrounding areas and the emergency response mechanism of district-level primary medical institutions.Methods Network and according to the stroke area township grass-roots medical institutions before and after the emergency response mechanism,will be in May 2017 to May 2018,daya bay and the surrounding areas of a grass-roots hospital 45 patients into groups prior to implementation,will be from June 2018 to May 2019 to implement group,after comparison before and after the implementation of patient morbidity,mortality,deficiency of neural function,daily life ability.Results The disability and mortality rates before the establishment of the stroke network and the emergency response mechanism were higher than those after the establishment of the stroke network and the emergency response mechanism(P<0.05).The living ability was improved compared with that after establishment(P<0.05).Conclusion Establishing a stroke network and emergency response mechanism at the district and township-level primary medical institutions can effectively reduce the mortality and disability of patients in Daya Bay and surrounding areas,and is conducive to the rehabilitation of patients.