| 摘要: |
| 目的探讨急救流程优化对接受血管内治疗的急性缺血性卒中患者“入院至穿刺”时间（DTP)的影响。方法选择2015年3月至2016年9月接受血管内治疗的患者为研究对象。流程优化前（2015年3至12月）32例为对照组，针对院内延误主要环节对原有急救流程实施改进后，2016年1至9月76例为观察组。比较两组入院至影像检查完成时间（DTI）、影像检查完成至送达导管室时间（ITS）及送达导管室至股动脉穿刺时间（STP）、工作时段DTP、非工作时段DTP以及院内延误质控合格率。结果观察组DTI20（4～124）min、ITS48（2～209）min、DTP87（30～232）min以及工作时段DTP91.5（91～307）min、非工作时段DTP87（32～230）min均较对照组[33（9～59）、87（5～227）、134（53～307）、169（30～232）、114.5（53～244）min]短，差异均有统计学意义（均P＜0.05）。观察组院内延误质控合格率（76.3%）较对照组（40.6%）高，差异有统计学意义（P＜0.01）。观察组院内延误质控合格率超过预期目标。结论对急救流程开展优化改进措施，可显著缩短急诊血管内治疗院内延误。 |
| 关键词: 缺血性卒中 血管内治疗 入院至穿刺时间 |
| DOI：10.12056/j.issn.1006-2785.2017.39.13.2016-1964 |
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| 基金项目: |
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| Optimazingemergency procedures to reduce door-to-puncture time interval for patients with acute ischemic stroke |
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SHI Tianming, ZHANG Jinhua, SHI Zongjie, ZHAO Hongchen, PAN Jie, GENG Yu
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Zhejiang provincial People's Hospital
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| Abstract: |
| Objective To evaluate the effect of optimazation of emergency proceues on the reduction ofthe door-to-puncture time(DTP) for acute ischemic stroke patients treated by intra-arterial therapy (IAT). Methods xxxpatients with acute ischemic stroke receiving IAT from March 2015 to September 2016 were enrolled in the study, including xx cases admitted before emergency procedure improved (March 2015 to December 2015, control group) and xx cases admitted after improvement (January 2016 to September 2016, study group). The door-to-imaging time(DTI), imaging-to-suite time(ITS), suite-to-puncture time (STP), DTP during work hours and after work hours, the qualification percentage of quality control for in-hospital delay were evaluated and compared between the two groups. Results Compared with control group, the in-hospital delay decreased
significantly in study group (P＜0.05). The DTI [20 (4 to 124) vs 33 (9 to 59) min], ITS [48(2 to 209) vs 87(5 to 227) min], DTP [87
(30 to 232) vs 134(53 to 307) min], DTP during working hours [91.5(91 to 307) vs 169(30 to 232) min], DTP after working hours[87 (32 to 230) vs 114.5 (53 to 244) min] in study group were significantly shorter than those in control group (all P＜0.01), while the qualification percentage of quality control was raised significantly in study group (76.3% vs 40.6%, P ＜0.01). Conclusion Optimization of the emergency proceures can reduce the in-hospital delays of intra-arterial therapy for patients with acute ischemic stroke. |
| Key words: Ischemic stroke Intra-arterial therapy Door-to-puncture time |
