优化诊疗流程在急性缺血性脑卒中患者救治中的价值

罗高权; 项薇; 武肖娜; 张园

doi:10.13201/j.issn.1009-5918.2017.12.016

优化诊疗流程在急性缺血性脑卒中患者救治中的价值

- 1. 广州总医院物联网救治中心神经专科(广州, 510010);
- 2. 广州总医院物联网救治中心心血管科
基金项目:
广东省科技计划项目 (No:2014A020212259)

详细信息

通讯作者: 张园,E-mail:zhangyuanor@163.com

中图分类号: R743.33

收稿日期: 2017-09-11

The value of optimal diagnosis and treatment process in patients with acute ischemic stroke

- 1. Nerve Specialist, Guangzhou Military General Hospital, Guangzhou, 510010, China;
- 2. Department of Cardiology, Guangzhou Military General Hospital

More Information

Corresponding author: ZHANG Yuan, E-mail: zhangyuanor@163.com

Received Date: 11 September 2017

摘要

摘要: 目的:探讨优化卒中诊疗流程对急性缺血性脑卒中患者救治中的价值。方法:按脑卒中中心成立前后分成既往对照组125例患者和正式运行组265例患者,记录诊治过程各环节时间点,比较两组死亡例数、入组时NIHSS评分及Barthel评分、4周后NIHSS评分及Barthel评分、3个月后NIHSS评分及Barthel评分、住院天数和住院费用。结果:脑卒中中心成立后各环节所耗时间持续减少;4周后、3个月后NIHSS评分及Barthel评分比较差异有统计学意义(P<0.05);死亡例数、住院费用比较差异无统计学意义;住院天数比较差异有统计学意义(P<0.05)。结论:脑卒中中心成立后通过优化卒中诊疗流程,减少了卒中诊疗各环节时间,提升诊疗水平,减少住院天数,改善患者预后,为急性缺血性脑卒中患者带来更多的获益。
- 急性缺血性脑卒中 /
- 脑卒中中心 /
- 物联网 /
- NIHSS评分 /
- Barthel评分
Abstract: Objective:To discuss the value of optimized diagnosis and treatment process in patients with acute ischemic stroke.Method:Patients were divided into a control group (125 patients) and a formal group (265 patients) based on the time of stroke center construction to record time points in the course of diagnosis and treatment, so as to compare both groups in number of deaths, NIHSS scores and Barthel scores upon grouping, NIHSS scores and Barthel scores after 4 weeks, NIHSS scores and Barthel scores after 3 months, days of hospital stay and hospital charges.Result:After the construction of the stroke center, time spent in different parts was decreasing.4 weeks later and after 3 months, NIHSS score and Barthel score difference was statistically significant (P<0.05).No statistically significant differences existed in number of deaths and hospital charges (P>0.05).The differences in days of hospital stay were statistically significant (P<0.05).Conclusion:After the stroke center construction, it was helpful for significantly reducing time of diagnosis and treatment in different parts, improving medical institutions' diagnosis and treatment of stroke, shortening days of hospital stay, improving patients' prognosis and bringing more benefits to patients with acute ischemic stroke by optimizing procedures for diagnosing and treating stroke.
- acute ischemic stroke /
- stroke center /
- internet of things /
- NIHSS score /
- barthel score

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