浙江医学2017，Vol.39Issue(13)：1102-1104,1107,4.DOI:10.12056/j.issn.1006-2785.2017.39.13.2016-1964
优化急救流程缩短急性缺血性卒中患者“入院至穿刺”时间研究
Optimazingemergency procedures to reduce door-to-puncture time interval for patients with acute ischemic stroke
施天明 1张锦华 1史宗杰 1赵鸿琛 1潘婕 1耿昱1
作者信息
- 1. 310014杭州,浙江省人民医院神经内科
- 折叠
摘要
Abstract
Objective To evaluate the effect of optimazation of emergency proceues on the reduction ofthe door-to-puncture time(DTP) for acute ischemic stroke patients treated by intra-arteriai therapy (IAT).Methods xxxpatients with acute ischemic stroke receiving IAT from March 2015 to September 2016 were enrolled in the study,including xx cases admitted before emergency procedure improved (March 2015 to December 2015,control group) and xx cases admitted after improvement (January 2016 to September 2016,study group).The door-to-imaging time(DTI),imaging-to-suite time(ITS),suite-to-puncture time (STP),DTP during work hours and after work hours,the qualification percentage of quality control for in-hospital delay were evaluated and compared between the two groups.Results Compared with control group,the in-hospital delay decreased significantly in study group (P＜0.05).The DTI [20 (4 to 124) vs 33 (9 to 59) min],ITS [48(2 to 209) vs 87(5 to 227) min],DTP [87 (30 to 232) vs 134(53 to 307) min],DTP during working hours [91.5(91 to 307) vs 169(30 to 232) min],DTP after working hours[87 (32 to 230) vs 114.5 (53 to 244) min] in study group were significantly shorter than those in control group (all P＜0.01),while the qualification percentage of quality control was raised significantly in study group (76.3％ vs 40.6％,P＜0.01).Conclusion Optimization of the emergency proceures can reduce the in-hospital delays of intra-arterial therapy for patients with acute ischemic stroke.关键词
缺血性卒中/血管内治疗/入院至穿刺时间Key words
Ischemic stroke/Intra-arterial therapy/Door-to-puncture time引用本文复制引用
施天明,张锦华,史宗杰,赵鸿琛,潘婕,耿昱..优化急救流程缩短急性缺血性卒中患者“入院至穿刺”时间研究[J].浙江医学,2017,39(13):1102-1104,1107,4.
