基于时效分析的急诊溶栓临床干预路径应用于急诊溶栓中的效果分析

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Abstract Objective To explore the effect of emergency thrombolysis clinical intervention pathway based on time-effect analysis on acute ischemic stroke patients. Methods From June 2017 to May 2018, a total of 58 patients with acute ischemic stroke admitted to Nanjing First Hospital. Nanjing Medical University (Nanjing First Hospital) (hereinafter referred to as “our hospital”) for thrombolysis in the ward were selected, as the control group. In addition, a total of 58 patients with acute ischemic stroke admitted to our hospital from June 2018 to May 2019 with emergency thrombolytic clinical intervention pathway based on aging analysis were selected, as an observation group. The aging index, nerve function and living ability of the two groups were compared. Results In terms of doctor′s advice issued-CT registration time, CT examination-thrombolytic treatment time, and door-to-needle time (DNT) time from admission to intravenous thrombolytic portal in the observation group were significantly shorter than those in the control group (P ＜ 0.05). The national institutes of health stroke scale score of the observation group was significantly lower than that of the control group 7 days after thrombolytic therapy (P ＜ 0.05). The rate of good living ability 3 months after the onset of the disease in the observation group was significantly higher than that in the control group, and the difference was statistically significant (P ＜ 0.05). Conclusion The application of the clinical intervention path of emergency thrombolysis based on the aging analysis in the emergency thrombolysis treatment can effectively shorten DNT time and improve the neurological function and living ability of patients, which is worth promoting.

Key words： Time-effect analysis Emergency thrombolysis Clinical intervention pathway

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	QIN Juanping MENG Yuzhi▲ ZHOU Junshan

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QIN Juanping MENG Yuzhi▲ ZHOU Junshan. Effect analysis of emergency thrombolysis clinical intervention pathway based on time-effect analysis in emergency thrombolysis[J]. 中国医药导报, 2020, 17(13): 193-196.

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http://www.yiyaodaobao.com.cn/EN/ OR http://www.yiyaodaobao.com.cn/EN/Y2020/V17/I13/193

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