Abstract：Objective To investigate the effect of the innovative green channel of the emergency department on the rescue effect of patients in the treatment of intravenous thrombolysis for acute ischemic stroke. Methods A total of 100 patients treated with intravenous thrombolytic therapy for acute ischemic stroke from January 2020 to December 2021 in our hospital were enrolled as the research objects. According to the random number table method, the patients were randomly divided into a control group (n=50) and an observation group (n=50), the observation group received emergency innovative green channel intervention, and the control group received conventional emergency channel intervention, comparing the rescue effect, different diagnosis and treatment time indicators, and nerve damage severity of the two groups. Results The average residence time, perfect CT time, arrival time, and emergency green channel treatment time in the observation group were shorter than those in the control group, and the difference values between the two groups were (18.76±0.87) min, (2.92±0.63) min, (3.82±0.15) min, and (23.00±1.42) min, respectively, and the differences were statistically significant (t=8.941, 2.665, 4.248, 8.545, P<0.001, =0.009, <0.001, <0.001). After the intervention, the severity score of central nervous system injury in the observation group was lower than that in the control group, and the difference values between the two groups were (2.49±0.08) points at 6 h, (3.22±0.35) points at 1 day, and (2.36±0.04) points at 1 week respectively, and the differences were statistically significant ( Fgroup=6.132, Ftime=4.983, Finteraction=5.477, all P<0.001). The disability rate of 8% and the case fatality rate of 2% in the observation group were lower than those in the control group (χ2=9.524, 7.680, P=0.003, 0.006). Conclusion In the intervention of patients with intravenous thrombolysis for acute ischemic stroke, the use of innovative green channel intervention in an emergency has positive significance for improving the rescue effect and nerve injury and promoting nerve injury repair.
淡华臣,汤斌,沈百庆,张瑞娟,曹晨. 急诊创新绿色通道对急性缺血性脑卒中静脉溶栓治疗患者的抢救效果分析[J]. 中国校医, 2022, 36(12): 934-936,947.
DAN Hua-chen, TANG Bin, SHEN Bai-qing, ZHANG Rui-juan, CAO Chen. Rescue effect of innovative green channel of emergency department on patients treated with intravenous thrombolysis for acute ischemic stroke. Chinese Journal of School Doctor, 2022, 36(12): 934-936,947.
2022, Vol. 36 
