【摘要】：目的探討卒中中心在腦卒中患者搶救中的作用及應(yīng)用效果。方法回顧性分析對比卒中中心成立(2015年12月)前后6個月,救治的258例卒中患者(分兩組,對照組為2015年6—11月收治的腦卒中患者,共127例,男77例,女50例;觀察組為2015年12月至2016年6月收治的腦卒中患者共131例,男80例,女51例)的臨床資料及在急診救治過程中入門、采血、CT檢查、會診等各環(huán)節(jié)的時限差異。結(jié)果卒中中心成立后腦卒中患者從入門至完成采血、CT檢查、會診時間明顯縮短,觀察組入門至完成采血時間平均縮短3.7 min,至CT檢查時間平均縮短22.6 min,至專科醫(yī)生會診時間平均縮短57.5 min。兩組上述各方面數(shù)據(jù)比較差異有統(tǒng)計學意義(P0.01)。結(jié)論卒中中心的成立能優(yōu)化腦卒中患者在急診科救治流程,縮短患者在急診科滯留時間,對后續(xù)治療有重大意義。
[Abstract]:Objective to investigate the role and application of stroke center in the rescue of stroke patients. Methods 258 stroke patients were treated 6 months before and after the establishment of stroke center (December 2015). 127 stroke patients, 77 males and 50 females, were treated in the control group from June to November 2015. From December 2015 to June 2016, there were 131 patients with cerebral apoplexy in the observation group, including 80 males and 51 females, and the time limits of entry into emergency treatment, blood collection, CT examination, consultation and so on. Results after the establishment of stroke center, the consultation time of stroke patients from entry to completion of blood collection was significantly shortened by CT examination, and the average time from entry to completion of blood collection in observation group was shortened by 3.7 min, to 22.6 min,. The average reduction in consultation time to a specialist is 57.5 min.. There was significant difference in the above data between the two groups (P 0.01). Conclusion the establishment of stroke center can optimize the treatment process of stroke patients in emergency department and shorten the retention time of stroke patients in emergency department, which is of great significance for follow-up treatment.
【作者單位】： 廣州軍區(qū)廣州總醫(yī)院急診科;廣州軍區(qū)廣州總醫(yī)院腦血管病科;廣州軍區(qū)廣州總醫(yī)院心血管外科中心;
【基金】：廣東省科技計劃項目(編號:2014A020212259)
【分類號】：R743.3

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