中国卒中杂志2018，Vol.13Issue(2)：122-126,5.DOI:10.3969/j.issn.1673-5765.2018.02.005
局域卒中网络建设提高急性缺血性卒中血管内治疗的疗效
Regional Stroke Rescue Network Improves Clinical Outcome of Endovascular Treated Patients with Acute Ischemic Stroke
摘要
Abstract
Objective To investigate the clinical outcome of regional stroke rescue network in improving endovascular treated patients with acute ischemic stroke (AIS). Methods A retrospective analysis was made upon regional AIS rescue network in Tianhe District, Guangzhou, which was established by Jinan University First Affiliated Hospital. All patients were divided into directly admitted group (Direct group), network hospital transferred group (Network group) and non-network hospital transferred group (Non-network group). The onset to arrive comprehensive stroke center (CSC) time, the onset to puncture time, the onset to recanalization time and the clinical outcome 3 months after treatment were compared. Results From October 2015 to July 2017, 93 patients who underwent endovascular therapy was enrolled. Among which, 37 patients were in Direct group; 31 patients were in Network group and 25 patients were in Non-network group. There were significant differences in the onset to arrive CSC time, the onset to puncture time and the onset to recanalization time among three groups, with much longer time in Non-network group (P<0.05), respectively. The non-disable rate (modified Rankin scale≤2) at 3 months was 60.0%, 45.16%, and 28.0%, in Direct group, Network group and Non-network group, respectively, with no difference between Direct and Network group (P=0.244), but significantly worse outcome in Non-network group than in direct group (P=0.039).Conclusion Regional stroke rescue network can shorten the treatment time and improve the outcome of patients with AIS.关键词
卒中网/急性缺血性卒中/卒中中心/血管内治疗Key words
Stroke network/Acute ischemic stroke/Stroke center/Endovascular treatment引用本文复制引用
廖瑜,乔宏宇,关敏,杨冰,张玉生,黄立安,徐安定..局域卒中网络建设提高急性缺血性卒中血管内治疗的疗效[J].中国卒中杂志,2018,13(2):122-126,5.基金项目
广州市科技计划项目(2014Y2-00505,201508020004) （2014Y2-00505,201508020004）
