追踪方法学在急性缺血性脑卒中患者静脉溶栓中的应用效果
Effects of tracer methodology on intravenous thrombolysis in patients with acute ischemic stroke
目的 采用追踪方法学对急性缺血性脑卒中(AIS)患者静脉溶栓急救流程进行追踪监测及管理,探讨其应用效果.方法 根据追踪方法学的理论基础,对患者就诊过程进行追踪,制定改进措施,并不断优化.以实施追踪方法学前2015年9月—2016年8月112例诊断为AIS并溶栓的患者为对照组,以实施后2016年9月—2017年8月160例诊断为AIS并溶栓的患者为观察组,比较两组患者从到达急诊至静脉溶栓用药院内救治各环节所用时间的变化.结果 实施追踪方法学后,观察组患者就诊到卒中团队接诊时间(4.1±1.2)min、就诊到影像检查时间(18.8±11.2)min、影像检查到静脉溶栓用药时间(22.5±10.2)min、就诊至静脉溶栓用药时间(44.6±12.5)min,均较对照组缩短,组间比较差异均有统计学意义(P<0.05).结论 追踪方法学的应用有效缩短了患者就诊到静脉用药时间,提高了AIS患者静脉溶栓治疗效率.
更多Objective To observe the effects of tracer methodology when used to trace and manage emergency intravenous thrombolysis processes in patients with acute ischemic stroke (AIS). Methods The patients' attendance process was traced, improved and constantly optimized according to the theoretical basis of tracer methodology. A total of 112 AIS patients who received thrombolysis from September 2015 to August 2016 (before tracer methodology was implemented) were divided into the control group, while another 160 AIS patients who received thrombolysis between September 2016 and August 2017 (after tracer methodology was implemented). The time between arrival and thrombolysis administration and hospital treatment were compared between the two groups. Results After tracer methodology was carried out, the time used between arrival and admission by our stroke treatment team in the observation group was (4.1±1.2)min; the time between arrival and imaging examination was (18.8±11.2)min; the time between imaging examination and thrombolysis administration was (22.5±10.2)min; and the time between arrival and thrombolysis administration was (44.6±12.5)min, all shorter than that of the control group (P<0.05). Conclusions The application of tracer methodology effectively reduces door to needle time, improves the efficiency of intravenous thrombolysis in AIS patients.
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