医护一体化及微信平台在外院转诊急性缺血性脑卒中患者静脉溶栓中的应用

Application of Integration of Medical Care and WeChat Platform in Intravenous Thrombolysis of Acute Ischemic Stroke Patients Referred to Hospital

目的:探讨医护一体化及微信平台在外院转诊急性缺血性脑卒中患者静脉溶栓中的应用效果。方法:将2019年7-12月收治的45例外院转诊急性缺血性脑卒中患者作为观察组,将2019年1-6月收治的30例外院转诊急性缺血性脑卒中患者作为对照组。对照组采用传统信息传递模式,观察组采用医护一体化及微信平台模式。比较两组入院至静脉溶栓开始时间(DNT)、溶栓时间窗内行静脉溶栓的比率、美国国立卫生研究院卒中量表(NIHSS)评分、mRS评分。结果:观察组在急诊科时间、CT报告时间、检验时间、神经内科与家属沟通时间、DNT、溶栓时间窗内行静脉溶栓比率均优于对照组,差异有统计学意义(P<0.05)。观察组溶栓后24 h、溶栓后7 d NIHSS评分均优于对照组,差异有统计学意义(P<0.05)。观察组溶栓后30 d mRS评分优于对照组,差异有统计学意义(P<0.05)。结论:医护一体化及微信平台应用于外院转急性缺血性脑卒中患者静脉溶栓中,有效缩短了DNT,提高了溶栓时间窗内行静脉溶栓的比率,有效降低了卒中严重程度,促进了患者早期神经功能恢复。

Objective:To investigate the application effect of integration of medical care and WeChat platform in intravenous thrombolysis of acute ischemic stroke patients referred to hospitals.Method:The 45 patients with acute ischemic stroke referred to hospital from July to December 2019 were selected as the observation group,and 30 patients with acute ischemic stroke referred to hospital from January to June 2019 were selected as the control group.The control group adopted the traditional information transmission mode,and the observation group adopted the integration of medical care and WeChat platform mode.The door to needle time (DNT),the rate of intravenous thrombolysis within the time window of thrombolysis,National Institutes of Health Stroke Scale (NIHSS) score and mRS score were compared between the two groups.Result:The observation group in the emergency department time,CT report time,test time,neurology and family communication time,DNT,thrombolysis time window line intravenous thrombolysis rate were better than the control group,the difference was statistically significant (P<0.05).The NIHSS scores in the observation group 24 h and 7 d after thrombolysis were better than those in the control group,the differences were statistically significant (P<0.05).The mRS score in the observation group was better than that in the control group 30 days after thrombolysis,the difference was statistically significant (P<0.05).Conclusion:The integration of medical care and WeChat platform in intravenous thrombolysis of acute ischemic stroke patients referred to hospital can effectively shorten DNT,improve the rate of intravenous thrombolysis within the time window of thrombolysis,effectively reduce the severity of stroke and promote the early neurological function recovery of patients.