关键词: 优化; 缺血性卒中; 绿色通道流程; 无缝衔接; 急救模式

Abstract:

Objective To investigate the clinical research on optimization of the green channel process in acute ischemic stroke for the emergency mode with seamless connection in hospital. Methods A total of 202 patients with acute ischemic stroke receiving green channel treated in emergency in our hospital from January 1, 2015 to November 30, 2015 were selected as the control group. Another 210 patients with acute ischemic stroke receiving green channel treated in emergency in our hospital from January 1, 2016 to November 30, 2016 were selected as the experimental group. The control group received the conventional green channel process of acute ischemic stroke, while the experimental group received the optimized emergency mode with seamless connection in hospital in acute ischemic stroke. The time from admission to intravenous thrombolysis, the time points of each key link, the satisfaction of doctors to nursing staffs, and the satisfaction of patients and families to nursing staffs between the two groups were compared to see whether there were any differences. Results Through optimizing the green channel process of acute ischemic stroke, the time from admission to intravenous thrombolysis for patients with acute ischemic stroke was continuously shortened (P <0.05); the time of each key link was decreased (P <0.05); thrombolysis rate got increased (P =0.020); the incidence of complications was reduced (P =0.006); and mortality reduced (P =0.009), which had significant differences. Conclusion Through optimizing the green channel process in acute ischemic stroke, the time from admission to intravenous thrombolysis was shortened and the satisfaction was improved, further improving the emergency mode with seamless connection in hospital.

Key words: Optimization; Acute ischemic stroke; Green channel process; Seamless connection; Emergency mode