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急诊急性缺血性脑卒中绿色通道的改进对静脉溶栓率的影响

邱金华 孔令恩 周谦武 蔡春生 陈晓能

国际医药卫生导报2018,Vol.24Issue(23):3553-3555,3.
国际医药卫生导报2018,Vol.24Issue(23):3553-3555,3.DOI:10.3760/cma.j.issn.1007-1245.2018.23.008

急诊急性缺血性脑卒中绿色通道的改进对静脉溶栓率的影响

Effect of improvement of emergency green channel for acute ischemic stroke on thrombolytic rate

邱金华 1孔令恩 1周谦武 1蔡春生 1陈晓能2

作者信息

  • 1. 516003 惠州市第一人民医院神经内科
  • 2. 516100 惠州,博罗县疾病预防控制中心
  • 折叠

摘要

Abstract

Objective To investigate the influence of improvement of emergency green channel for acute ischemic stroke (AIS) on thrombolytic rate. Methods From July 2015 to June 2017, 82 AIS patients were registered in the first people's hospital of Huizhou through stroke green channel, 40 patients before the improvement of green channel from July 2015 to June 2016 as control group, 42 patients after the improvement of green channel from July 2016 to June 2017 as improved group. We recorded the door to needle time (DNT), intravenous thrombolytic rate, and NIHSS score before and after rt-PA intravenous thrombolysis of the two groups. Results In the improved group, DNT was shorter than that in the control group (P<0.05), and the intravenous thrombolytic rate was 66.6%, higher than that in the control group (37.5%) (P<0.05). The NIHSS score of the improved group was lower after rt-PA intravenous thrombolysis (P<0.05). Conclusion The improvement of green channel in emergency can shorten DNT, raise the intravenous thrombolytic rate, and improve the prognosis in thrombolytic patients with AIS.

关键词

急性缺血性脑卒中/绿色通道/静脉溶栓率/急诊

Key words

Acute ischemic stroke/Green channel/Thrombolytic rate/Emergency

引用本文复制引用

邱金华,孔令恩,周谦武,蔡春生,陈晓能..急诊急性缺血性脑卒中绿色通道的改进对静脉溶栓率的影响[J].国际医药卫生导报,2018,24(23):3553-3555,3.

基金项目

惠州市科技计划项目(2016Y057)Fund program: Science and Technology Planning Project of Huizhou City (2016Y057) (2016Y057)

国际医药卫生导报

1007-1245

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