多学科联合诊疗模式指导下的急诊脑卒中信息化平台在急性脑卒中患者中的应用

Application of Information Platform for Emergency Stroke Under the Guidance of Multi-disciplinary Treatment in Patients with Acute Stroke

目的探讨多学科联合诊疗模式指导下的急诊脑卒中信息化平台在急性脑卒中患者中的应用。方法选取2018年1—12月在郑州大学第一附属医院急诊抢救治疗的80例急性脑卒中患者为研究对象,采用计算机分层法将其分为对照组与观察组,各49例。对照组接受常规急诊抢救模式,观察组在此基础上接受多学科联合诊疗模式指导下的急诊脑卒中信息化平台抢救模式。观察并比较两组各抢救环节所用时间,采用美国国立卫生研究院卒中量表(NIHSS)评价患者溶栓治疗前后不同时间点的脑神经功能。结果观察组就诊至急诊医生接诊时间、就诊至CT完成时间、就诊至CT完成解读时间、就诊至溶栓治疗时间均短于对照组(P<0.05)。NIHSS评分的处理主效应、时间主效应、处理效应与时间效应的交互作用有统计学意义(P<0.05)。结论多学科联合诊疗模式指导下的急诊脑卒中信息化平台在急性脑卒中抢救中应用,可缩短就诊至溶栓治疗时间,对改善脑神经功能、提高远期预后具有积极的意义,值得临床推广。

Objective To explore the application of information platform for emergency stroke under the guidance of multi-disciplinary treatment in patients with acute stroke.Methods A total of 80 patients with acute stroke who were treated in the emergency department of the First Affiliated Hospital of Zhengzhou University from January to December 2018 were selected as the research objects.They were divided into control group and observation group with 49 cases each by computer stratification.The control group accepted the routine emergency rescue mode,and the observation group accepted the emergency stroke information platform rescue mode under the guidance of multi-disciplinary treatment mode on this basis.Control group implement routine emergency rescue mode,observation group on the basis of multi-disciplinary treatmentt mode under the guidance of emergency stroke information platform rescue mode.The time of each rescue link between the two groups were observed and compared,and the cerebral nerve function of patients at different time points before and after thrombolytic therapy were evaluated by National Institute of Health stroke scale(NIHSS).Results The time from visit to emergency doctor,from visit to CT completion,from visit to CT completion and from visit to thrombolytic therapy in the observation group was shorter than that in the control group(P<0.05).The main effect of NIHSS score treatment,the main effect of time,and the interaction between treatment effect and time effect were statistically significant(P<0.05).Conclusion The application of the information platform for emergency stroke under the guidance of multi-disciplinary treatment in the rescue of acute stroke can shorten the time from visiting to thrombolytic therapy,which is of positive significance for improving cerebral nerve function and long-term prognosis,and is worthy of clinical promotion.