院内“一站式”卒中救护流程改善急性缺血性脑卒中患者的救护质量

"One-stop"in-hospital stroke rescue procedures to improve the quality of care for acute ischemic stroke

目的评价院内“一站式”卒中救护流程对急性缺血性脑卒中患者的救护质量。方法选取急诊入院的135例患者作为研究对象。对照组67例患者采用常规流程,实验组68例患者采用“一站式”救护流程。结果采用“一站式”救护流程的血管内治疗患者各救护节点时间及mRS(发病3个月时改良Rankin量表)均优于常规流程,差异有统计学意义。静脉溶栓患者节点时间差异有统计学意义(P<0.01)。结论院内“一站式”救护流程能提高AIS患者救护效率、改善患者临床结局。

Objective To evaluate the quality of one-stop Stroke rescue for patients with acute ischemic stroke.Methods 135 patients admitted to hospital in emergency were selected as study subjects.67 patients in the control group were treated with conventional procedures,while 68 patients in the experimental group were treated with"one-stop"rescue procedures.Results The"one-stop"treatment process was better than the conventional treatment process in each rescue time node and MRS score(modified Rankin scale at 3 months after onset),with significant differences.There were statistically significant differences in the time nodes of intravenous thrombolysis(P<0.01).Conclusions"one-stop"in-hospital rescue procedure can improve the rescue efficiency and clinical outcome of patients with acute ischemic stroke.