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目的评价脑血管病急诊模式优化措施对急性缺血性脑卒中(AIS)患者急诊取栓效率的影响。方法收集本院实施脑血管病急诊模式优化前后收治的AIS患者,采用回顾性分析比较各组患者的相关指标。结果对照组与优化组各收集到患者49例,两组自接诊到CT检查、送入导管室、静脉溶栓及动脉取栓再通的时间分别为24.1±13.6 min vs 13.4±7.6 min,t=4.417(P<0.001);87.8±48.0 min vs 70.6±23.0 min,t=2.095(P=0.020);49.5±24.7 min vs 38.9±12.5 min,t=2.034(P=0.024);197.0±62.3 min vs 142.6±46.6 min,t=4.053(P=<0.001),差异均具有统计学意义。优化的脑血管急诊模式可显著缩短AIS患者自抵达急诊到CT检查、静脉溶栓、抵达导管室、动脉取栓再通的时间。结论优化的脑血管急诊模式可显著提高急诊取栓效率。
Objective To evaluate the effect of emergency mode optimization of cerebrovascular disease on emergency thrombectomy in patients with acute ischemic stroke (AIS). Methods We collected AIS patients who were treated in our hospital before and after the optimization of the emergency mode of cerebrovascular disease. The related indicators of each group were compared by retrospective analysis. Results In the control group and the optimized group, 49 patients were collected. The time between the two groups receiving CT examination, catheterization, intravenous thrombolysis and arterial thrombectomy were 24.1 ± 13.6 min vs 13.4 ± 7.6 min, t = 2.054 (P = 0.024); 197.0 ± 62.3 (P = 0.001); t = 4.417 (P <0.001); 87.8 ± 48.0 min vs 70.6 ± 23.0 min min vs 142.6 ± 46.6 min, t = 4.053 (P = <0.001), the differences were statistically significant. The optimal cerebrovascular emergency model significantly shortens the time from AIS arrival to emergency department visit to CT, intravenous thrombolysis, arrival in the catheter room and arterial thrombectomy. Conclusion Optimized cerebrovascular emergency model can significantly improve the efficiency of emergency thrombectomy.