脑卒中急诊绿色通道管理模式的实践

Practice of Green Channel Management Model in Emergency Treatment of Stroke

急性缺血性卒中患者的救治关键在于超早期及早期治疗,缺血性卒中患者院内救治效率通过入院到接受溶栓治疗的时间(Door-to-Needle Time,DNT)判定。以医院脑卒中急诊绿色通道救治为例,不断完善急性卒中医疗团队,给予全方位的专业化医疗人才配备,缩短DNT,增加更多患者进行溶栓取栓治疗,减少致残致死。本研究将从完善管理框架、建立多学科诊疗团队、再造诊治流程、优化资源调配、加强质量控制等方面进行脑卒中急诊绿色通道管理模式的创新与实践,得到以下成效:(1)简化单个环节用时长度;(2)以溶栓时间(DNT)为关键点进行优化;(3)进行溶栓时间(DNT)改进和优化;(4)利用移动卒中救治技术缩短溶栓所用时间。

The key to the treatment of patients with acute ischemic stroke is ultra-early and early treatment.The in-hospital treatment efficiency of patients with ischemic stroke is determined by the time of admission to receive thrombolysis(Door-to-Needle Time,DNT).Take an example,constantly improve the acute stroke medical team,give a full range of specialized medical personnel,shorten DNT,increase more patients to treat thrombolysis,reduce disability and death.This study will improve the management framework,establish multidisciplinary treatment team,re-inventory treatment process,optimize resource allocation,and strengthen quality control.The innovation and practice of the green channel management model of stroke emergency department will yield four aspects:(1)Simplification the length of time for a single link;(2)Optimization with the key point of thrombolysis time(DNT);(3)Branding,leading the improvement and optimization of thrombolysis time(DNT)throughout the country;(4)Using mobile stroke treatment technology to shorten the time window of thrombolysis.