绿色通道溶栓救治急性脑梗死的价值分析

Value Analysis of Green Channel Thrombolysis for Acute Cerebral Infarction

目的分析绿色通道溶栓救治急性脑梗死的价值。方法研究对象是该院急诊收治的150例急性脑梗死患者,研究对象选择的时间范围是2018年1月—2019年5月。按照数字随机法,将患者分为研究组和对照组,对照组给予常规的脑梗死用药治疗,研究组开展绿色通道溶栓救治,对比治疗前后两组神经功能缺损情况、不良事件发生情况、治疗效果,观察两组确诊时间和施行有效救治时间。结果研究组治疗有效率94.67%,对照组治疗有效率82.67%,研究组高于对照组,组间数据差异有统计学意义(χ^2=6.263,P<0.05)。研究组确诊时间(17.35±6.43)min和确诊至有效救治时间(29.04±5.12)min,对照组确诊时间(32.31±7.21)min和确诊至有效救治时间(46.84±8.65)min,研究组均短于对照组,组间数据差异有统计学意义(t=12.838、14.263,P<0.05)。结论绿色通道溶栓救治急性脑梗死可缩短确诊和开展有效治疗时间,为患者的生命节省黄金救治时间,是患者康复和减少后遗症的保障。

Objective To analyze the value of green channel thrombolysis in the treatment of acute cerebral infarction.Methods The study subjects were 150 patients with acute cerebral infarction admitted to the hospital in an emergency department. The study subjects were selected from January 2018 to May 2019. According to the digital random method,the patients were divided into a study group and a control group. The control group was given conventional cerebral infarction treatment. The research group carried out green channel thrombolytic therapy. The neurological deficits,adverse events, and treatment were compared between the two groups before and after treatment. The effect was to observe the time of diagnosis and effective treatment for the two groups. Results The treatment efficiency of the study group was 94.67%, and the treatment efficiency of the control group was 82.67%. The study group was higher than the control group. There was a significant statistical difference between the groups(χ^2=6.263,P<0.05). The diagnosis time(17.35±6.43)min and diagnosis-to-effective treatment time(29.04±5.12)min in the study group, and the diagnosis time(32.31 ±7.21)min and diagnosis-to-effective treatment time(46.84 ±8.65) min in the control group. There were statistically significant differences between the groups(t =12.838,14.263, P <0.05). Conclusion Green channel thrombolysis for acute cerebral infarction can shorten the time of diagnosis and effective treatment, save the patient’s life and save gold, and it is the guarantee for patients’ recovery and reduction of sequelae.