心脑血管病防治2017，Vol.17Issue(6)：427-431,5.DOI:10.3969/j.issn.1009-816x.2017.06.04
流程改进与智能时间追踪在急性缺血性脑卒中溶栓流程中的作用
Effect of Optimization of Emergency Procedures and Time Tracking on Thrombolysis Process for Patients with Acute Is -chemic Stroke
潘小玲 1李冰冰 2程兴 1郭佳奕 2陈红芳1
作者信息
- 1. 321000 浙江大学金华医院神经内科
- 2. 321000 浙江大学金华医院信息科
- 折叠
摘要
Abstract
Objective To study the effect of emergency procedures optimization and the implementing of intelligent time tracking sys -temon the reduction of door to needle time(DNT) and the thrombolysis rate in patients with acute ischemic stroke. Methods 2592 a-cute ischemic stroke (AIS) patients who were treated at neurology department from September 2014 to September 2016 were taken as example ,including 243 patients who were treated with intravenous thrombolytic therapy . The 243 patients were divided into two groups :106 cases before the process of emergency procedures optimization and 137 cases after the process of emergency procedures optimization. The clinical data of the two groups was retrospectively analyzed before and after emergency procedures optimization and the implementing of intelligent time tracking system since December 2015.And then analyzed and compared the differences in indica-tors of DNT ,the rate of DNT ≤ 60 minutes. The thrombolysis rate of AIS patients and the overall thrombolysis rate within time window were analyzed. And the change of the above indexes was compared before and after emergency procedures optimization and the imple -menting of intelligent time tracking system. Results After the implementing of emergency procedures optimization and intelligent time tracking system ,the DNT was significantly shortened ( P < 0.01)with the percentage of age 80 or more patients increased ( P <0.05). The thrombolysis rate of AIS patients within the time window increased remarkably (P < 0.01) ,while the overall thrombolysis rate of all AIS patients was increased ,but no statistical difference (P> 0.05). The differences on symptomatic hemorrhagic transfor-mation and death rate between the two groups had no statistically significant difference (P> 0.05). Conclusions There is high poten-tial clinical value to initiate the green channel of intravenous thrombolysis and the intelligent time tracking system for acute ischemic stroke patients for its effects on significantly shortening the DNT ,increasing the thrombolysis rate of AIS patients and the overall thrombolysis rate within time window on the basis of safety and high efficiency.关键词
急性缺血性脑卒中/静脉溶栓/入院到溶栓治疗的时间Key words
Acute ischemic stroke/Intravenous thrombolysis/Door to needle time分类
医药卫生引用本文复制引用
潘小玲,李冰冰,程兴,郭佳奕,陈红芳..流程改进与智能时间追踪在急性缺血性脑卒中溶栓流程中的作用[J].心脑血管病防治,2017,17(6):427-431,5.
