急性缺血性卒中患者溶栓流程的优化及效果评价

doi:10.3761/j.issn.2096-7446.2022.04.014

Abstract

Abstract: Objective To explore the optimization method and application effect of thrombolytic process in patients with acute ischemic stroke. Methods According to the emergency treatment process,optimize the thrombolysis process for patients with acute ischemic stroke. The relevant departments applied the optimized stroke process to clinical work. Patients with acute ischemic stroke who were admitted to the emergency department of a tertiary general hospital in Zhejiang Province for intravenous thrombolysis from October 2020 to March 2021 were selected as the observation group. Patients with acute ischemic stroke treated with thrombolysis from April 2020 to September 2020 were the control group. The observation group adopted an optimized stroke process,including rapid identification and efficient pre-examination and triage,special area and team management,item-surrounding "three determinations" management,the highest field level,and the forward movement of thrombolysis space. The time-consuming of each treatment link and the National Institutes of Health Stroke Scale（NIHSS） scores before and after intravenous thrombolysis were collected and compared between the two groups. Results A total of 137 patients with acute ischemic stroke were included in this study,65 in the observation group and 69 in the control group. The observation group took 6.0（5.0,8.0） minutes from emergency admission to the completion of blood specimen submission,which was lower than that of the control group by 6.0（5.5,10.5） minutes;the observation group's emergency room stay time was 8.0（6.0,9.0） minutes,lower than the control group which was 11.0（9.0,14.0） minutes;the observation group took 41.0（29.5,50.0） minutes from admission to the start of thrombolysis,lower than the control group which was 55.0（41.5,70.5） minutes. The differences were all statistically significant（P< 0.05）. There was no significant difference in NIHSS scores between the two groups before and after intravenous thrombolysis（P> 0.05）. Conclusion The use of an optimized acute ischemic stroke process can help reduce the time from hospital admission to thrombolytic therapy,as well as the time spent in the emergency department.

Key words: Acute Stroke, Thrombolytic Therapy, Emergency Procedures, Transportation of Patients, Team Resource Management, Emergency Nursing

HONG Hui, YAN Danping, WANG Yuwei, ZHANG Rui. Optimization and effect evaluation of emergency procedures for patients with acute stroke[J]. Chinese Journal of Emergency and Critical Care Nursing, 2022, 3(4): 354-359.

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Optimization and effect evaluation of emergency procedures for patients with acute stroke

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