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拉萨市急性缺血性脑卒中静脉溶栓流程优化效果初探

周立新 次央 胡亚雄 卓玛 次旦卓嘎 王栋梁 曹旭东 吴科学 赵玉华 彭斌

周立新, 次央, 胡亚雄, 卓玛, 次旦卓嘎, 王栋梁, 曹旭东, 吴科学, 赵玉华, 彭斌. 拉萨市急性缺血性脑卒中静脉溶栓流程优化效果初探[J]. 协和医学杂志. doi: 10.12290/xhyxzz.2022-0041
引用本文: 周立新, 次央, 胡亚雄, 卓玛, 次旦卓嘎, 王栋梁, 曹旭东, 吴科学, 赵玉华, 彭斌. 拉萨市急性缺血性脑卒中静脉溶栓流程优化效果初探[J]. 协和医学杂志. doi: 10.12290/xhyxzz.2022-0041
ZHOU Lixin, CI Yang, HU Yaxiong, ZHUO Ma, CIDAN Zhuoga, WANG Dongliang, CAO Xudong, WU Kexue, ZHAO Yuhua, PENG Bin. Current Situation of Intravenous Thrombolysis of Acute Ischemic Stroke and Effect of a Quality Improvement Initiative in Lhasa[J]. Medical Journal of Peking Union Medical College Hospital. doi: 10.12290/xhyxzz.2022-0041
Citation: ZHOU Lixin, CI Yang, HU Yaxiong, ZHUO Ma, CIDAN Zhuoga, WANG Dongliang, CAO Xudong, WU Kexue, ZHAO Yuhua, PENG Bin. Current Situation of Intravenous Thrombolysis of Acute Ischemic Stroke and Effect of a Quality Improvement Initiative in Lhasa[J]. Medical Journal of Peking Union Medical College Hospital. doi: 10.12290/xhyxzz.2022-0041

拉萨市急性缺血性脑卒中静脉溶栓流程优化效果初探

doi: 10.12290/xhyxzz.2022-0041
基金项目: 

中国医学科学院中央级公益性科研院所基本科研业务费(2021-RW320-003);西藏自治区科技计划项目重点研发项目(XZ202001ZY0009G)

详细信息
    通讯作者:

    赵玉华,E-mail:drolyang@163.com

  • 中图分类号: R735.3

Current Situation of Intravenous Thrombolysis of Acute Ischemic Stroke and Effect of a Quality Improvement Initiative in Lhasa

  • 摘要: 目的 探索优化卒中绿色通道流程对提高拉萨市急性缺血性脑卒中溶栓质量的效果。 方法 连续纳入2019年8月至2021年12月就诊于西藏自治区人民医院的接受静脉溶栓的急性缺血性脑卒中患者。2021年7月完成卒中绿色通道流程优化,据此将患者分为优化前组和优化后组,比较两组静脉溶栓的质量控制指标及溶栓预后指标。 结果 共纳入34例接受静脉溶栓治疗的急性缺血性脑卒中患者,其中男性23例(67.6%),平均年龄(56.2±14.7)岁,藏族患者20例(58.8%),基线NIHSS评分均值为(7.8±6.1)分。流程优化前完成静脉溶栓16例,平均入院至静脉溶栓时间(door to needle time,DNT)为(108.9±53.8) min,而流程优化后静脉溶栓完成18例,DNT为(67.1±37.8) min,较优化前显著缩短(P=0.035)。 结论 优化拉萨卒中绿色通道流程后,急性缺血性脑卒中静脉溶栓治疗的院内救治时间明显缩短,该措施可能在一定程度上有助于提高卒中超早期治疗的急救效率。
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出版历程
  • 收稿日期:  2022-01-27
  • 网络出版日期:  2022-06-11

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