Investigation and analysis of the delay situation of thrombolysis treatment in hospital in patients with acute ischemic stroke
10.3760/cma.j.issn.1674-2907.2016.26.011
- VernacularTitle:急性缺血性脑卒中患者溶栓治疗院内延误现状调查分析
- Author:
Hong CHANG
1
;
Xin YANG
;
Xunming JI
;
Haiqing SONG
;
Qingfeng MA
;
Linxia SU
;
Yihao ZHAO
;
Xiao LIANG
Author Information
1. 100053 北京，首都医科大学宣武医院神经内科
- Keywords:
Acute ischemic stroke;
Thrombolysis;
Delay in hospita
- From:
Chinese Journal of Modern Nursing
2016;22(26):3746-3748,3749
- CountryChina
- Language:Chinese
-
Abstract:
Objective To know the situation of time delay from the patients with ischemic stroke arrived the emergency to accepted the thrombolysis treatment, and analyze the related factors in order to put forward effective process optimization measures. Methods Totally 122 patients with acute ischemic stroke admitted into a Beijing grade A tertiary hospital who needed receive thrombolysis treatment from June 2014 to June 2015 were selected as the research object according to the purpose sampling method. Then we recorded the time in the whole process which were devided into 4 steps ( arrived at the emergency department- obtained consultation of stroke physicians;obtained consultation of stroke physicians- arrived in CT chamber; arrived in CT chamber- got CT scan results; got CT scan results- accepted thrombolysis therapy ) . Results The time delayed in hospital of intravenous thrombolysis group and artery thrombolysis group were (114.95±29.48)min and (171.22±50.10)min. The step of biggest delta-T between the actual time and standard time of two groups were both from getting a CT scan results to accepting thrombolysis therapy.Conclusions The delay after getting a CT scan results is the most important reason of delay in hospital. Shorten the time of blood test, optimize the hospital management and perfect the construction of the green channel, can promote the situation of the delay in hospital, and, improve the efficiency of thrombolysis treatment.
