【摘要】 目的观察急诊静脉溶栓优化流程在急性缺血性脑卒中(AIS)患者中的应用效果。方法 173例AIS患者作急诊静脉溶栓治疗,其中75例行优化流程(观察组),98例未行优化流程(对照组),比较两组间就诊-静脉溶栓进针时间(DNT)、头颅CT扫描时间、NHISS评分、谈话时间、住院时间、有效率及预后。结果观察组DNT、CT扫描时间、谈话时间、住院时间及预后均短于对照组,NHISS评分、疗效优于对照组,差异均有统计学意义(P<0.05或0.01)。结论优化流程可明显缩短AIS患者DNT和住院时间,改善预后。更多还原

【Abstract】 Objective To observe the effect of optimal process of emergency intravenous thrombolysis(EIVT) in acute ischemic stroke(AIS). Methods A total of 173 AIS cases underwent EIVT, of whom 75 cases(observation group) were treated with optimal process, and 98 cases(control group) were not. The door-to-needle time(DNT), cranial CT scan time, NHISS score, conversation time, hospital stay, efficacy, and prognosis were compared between two groups. Results DNT, CT scan, conversation time, hospital stay, and prognosis were shorter, while NHISS score and efficacy were higher in observation group compared to control group(P<0.05 or 0.01). Conclusion The optimal process can improve DNT, hospital stay and prognosis in AIS patients.更多还原