摘要
目的 构建急性缺血性脑卒中(AIS)患者急诊快速时效管理体系,并评价其应用效果.方法 构建南京医科大学附属常州市第二人民医院AIS患者急诊快速时效管理体系,并将此系统应用于2018年3月至2019年2月本院急诊就诊的63例AIS患者(快速时效管理模式组);同时与2017年3月至2018年2月本院收治的30例AIS患者作对照(常规治疗对照组).比较两组AIS患者急诊就诊环节中预检分诊时间、基本措施落实时间、检查转运时间、入院至溶栓时间(DNT)的差异.结果 与常规治疗对照组比较,快速时效管理模式组检查转运时间、DNT均显著缩短[检查转运时间(min):10.56±7.12比27.93±10.89,DNT(min):57.52±14.23比75.69±21.11,均P<0.05];而常规治疗对照组与快速时效管理模式组预检分诊时间、基本措施落实时间比较差异均无统计学意义[预检分诊时间(min):3.37±1.47比3.23±1.27,基本措施落实时间(min):10.30±5.55比7.81±5.63,均P>0.05].结论 AIS患者在急诊实行快速时效管理体系,可明显优化就诊流程中的检查转运环节,从而缩短患者的再灌注时间.
Objective To construct the emergency rapid time management system for patients with acute ischemic stroke(AIS),and evaluate its effect.Methods The emergency rapid time management system for patients with ischemic stroke in Changzhou Second People's Hospital of Nanjing Medical University was constructed and applied to 63 AIS patients in Department of Emergency from March 2017 to February 2019(rapid time management system group).As a contrast,the AIS patients in our hospital from March 2017 to February 2018 who received routine treatment were as control(routine treatment control group).The difference of pre-examination and triage time,implementation time of basic measures,inspection transport time and door to needle time(DNT)between two groups of AIS patients were compared.Results Compared with routine treatment control group,the inspection transport time and DNT in rapid time management system group were significantly reduced[inspection transport time(minutes):10.56±7.12 vs.27.93±10.89,DNT(minutes):57.52±14.23 vs.75.69±21.11,all P<0.05].However,the pre-examination and triage time and implementation time of basic measures in the two groups showed no significantly difference[pre-examination and triage time(minutes):3.37±1.47 vs.3.23±1.27,implementation time of basic measures(minutes):10.30±5.55 vs.7.81±5.63,all P>0.05].Conclusions The rapid time management system for AIS patients in emergency can obviously optimize the examination and transport links in the treatment process and thus shorten the reperfusion time of the patient.
作者
裔雅萍
林燕
刘烨
陈芳
谢欢
Yi Yaping;Lin Yan;Liu Ye;Chen Fang;Xie Huan(Department of Emergency,Changzhou Second People's Hospital of Nanjing Medical University,Changzhou 213003,Jiangsu,China)
出处
《中国中西医结合急救杂志》
CAS
CSCD
北大核心
2019年第6期709-712,共4页
Chinese Journal of Integrated Traditional and Western Medicine in Intensive and Critical Care
基金
江苏现代医院管理研究中心医院管理研究项目(JSY-3-2018-118)。
作者简介
通信作者:林燕,Email:13912337722@163.com。
