Effects of time targeted management on the control of thrombolysis time window in acute ischemic stroke
10.3760/cma.j.issn.1674-2907.2015.23.011
- VernacularTitle:时间目标管理缩短急性缺血性脑卒中溶栓治疗时间窗的研究
- Author:
Danhui? LI
1
;
Xiaohua XIE
;
Hui CHEN
;
Xiaoqun LI
;
Wei TAN
;
Jiwen ZHANG
;
Chuxuan GU
;
Fenhong WANG
Author Information
1. 518035 深圳市第二人民医院急诊科
- Keywords:
Ischemic,stroke;
Thrombolysis;
Time targeted management
- From:
Chinese Journal of Modern Nursing
2015;(23):2760-2763
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore targeted time management to shorten the time from arriving hospital to thrombolysis ( DNT ) . Methods A total of 42 suspected acute ischemic stroke ( AIS ) patients were underwent the targeted time management from pre-hospital until emergency thrombolysis while other 24 cases from 120 to hospital started from the time arriving Emergency Department. The complete rate of targeted time management and DNT compared with before management. Results In the control group, the hospital received 42 pre-hospital patients suspected with AIS in 3 hrs, and completed all targets 31 cases with pass rate of 73. 8%; the experimental group acquired 38 cases and achieved targets 35 cases with pass rate of 92. 1% (χ2 =4. 625,P<0. 05). In the experimental group, the pass rate of pre-hospital Emergency Department, CT detection, thrombolysis preparation were 100% (38/38), 94. 7% (18/19), 94. 7%(18/19) higher than 61. 9% (26/42), 55. 6% (10/18), 58. 8% (10/17) (χ2 =18. 095,5. 727,4. 779;P <0. 05). A total of 17 cases underwent thrombolysis with DNT of ( 68. 65 ± 23. 75 ) min while 19 cases in the experimental group with DNT of (35.50±2.98)min(Z=5.106,P<0.01),and4casescomingfrom120withDNTof(46.40±5.68) min (Z= -4. 092,P <0. 05). Conclusions To utilize pre-hospital time reasonable, we make the thrombolysis process early, regulate the process, manage each segment time targeted, find out and improve the reasons for overdue segment, make clear individual responsibility, which can shorten the DNT and be benefit patients.
