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

摘要：

目的 探讨优化缺血性卒中绿色通道流程对院内无缝衔接急救模式的临床研究。 方法 选取2015年1月1日-11月30日来我院急诊并实施绿色通道的急性缺血性卒中患者202例作为对 照组，选取2016年1月1日-11月30日来我院急诊并实施绿色通道的急性缺血性卒中患者210例作为实 验组。对照组采用常规的急性缺血性卒中绿色通道流程实施管理，实验组采用优化后急性缺血性卒 中流程院内一体化无缝衔接急救模式管理方法，比较两组患者入院至静脉溶栓门-针时间、各关键 环节时间点、医生对护理人员的满意度、患者及家属对护理人员的满意度是否存在差异。 结果 通过优化急性缺血性卒中绿色通道流程，至我院就诊的急性缺血性卒中患者的入院至静脉 溶栓门-针时间持续缩短（P＜0.05），各关键环节时间点所用时间减少（P＜0.05），患者的溶栓率提 高（P =0.020），患者的并发症发生率降低（P =0.006），死亡率降低（P =0.009），差异有显著性。 结论 通过优化急性缺血性卒中绿色通道流程，使患者入院至静脉溶栓门-针时间缩短，提高了满 意度，使院内一体化无缝衔接急救模式更加完善。

关键词: 优化; 缺血性卒中; 绿色通道流程; 无缝衔接; 急救模式