You Position: Home > Paper
急性缺血性脑卒中血管内治疗不同转运模式院内时间延迟多中心分析
( views:71, downloads:145 )
- Author:
- No author available
- Journal Title:
- Prevention and Treatment of Cardio-Cerebral-Vascular Disease
- Issue:
- 1
- DOI:
- 10.3969/j.issn.1009-816x.2021.01.020
- Key Word:
- 脑卒中;血栓切除术;转运模式;治疗延误
Abstract： 目的 探讨不同转运模式对急性缺血性脑卒中患者血管内治疗院内时间延迟的影响.方法 选取2017年1月至2018年12月杭州市第一人民医院、宁波市第一人民医院、台州市第一人民医院多中心数据库,行血管内治疗的急性前循环大动脉闭塞患者306例,269例纳入研究,分为直接转运模式(MS)组与分级转运模式(DS)组,对两组血管内治疗前脑卒中严重程度美国国立卫生研究院卒中量表(NIHSS)、24 h NIHSS、起病至入院(OTA)、起病至再灌注(OTR)、进门到股动脉穿刺(DTP)、进门到再灌注(DTR)、穿刺至再灌注(PTR)时间进行比较. 结果 DS组相对年龄更轻,相对神经功能缺损更严重(t=2.754、2.867,P<0.05)、24h脑卒中严重程度两组无统计学意义,DS组OTA、OTR时间更长(t=4.781、4.782,P<0.01),DTP、DTR、PTR时间两组无差异. 结论 不同转运模式对急性缺血性脑卒中患者血管内治疗院内时间延误无影响.
- [1]潘小玲,李冰冰,程兴,等.流程改进与智能时间追踪在急性缺血性脑卒中溶栓流程中的作用[J].2017,(6).
- [2]高峰,徐安定.急性缺血性卒中血管内治疗中国指南2015[J].2015,(7).
- [3]张美霞,陈智才,张睿婷,等.院前预通知流程改善急性缺血性卒中患者血管内治疗的预后[J].2018,(2).
- [4]Ismail, Mohammad,Armoiry, Xavier,Tau, Noam,etc.Mothership versus drip and ship for thrombectomy in patients who had an acute stroke: a systematic review and meta-analysis[J].2019,11(1).
- [5]Jadhav, Ashutosh P.,Menon, Bijoy K.,Pereira, Vitor Mendes,etc.Analysis of Workflow and Time to Treatment and the Effects on Outcome in Endovascular Treatment of Acute Ischemic Stroke: Results from the SWIFT PRIME Randomized Controlled Trial[J].2016,279(3).
- [6]Jovin, T. G.,Chamorro, A.,Cobo, E.,etc.Thrombectomy within 8 Hours after Symptom Onset in Ischemic Stroke[J].2015,372(24).
- [7]Stanaway, Jeffrey D.,Reiner, Robert C.,Blacker, Brigette F.,etc.The global burden of typhoid and paratyphoid fevers: a systematic analysis for the Global Burden of Disease Study 2017[J].2019,19(4).
- [8]Berkhemer, O. A.,Fransen, P. S. S.,Beumer, D.,etc.A Randomized Trial of Intraarterial Treatment for Acute Ischemic Stroke[J].2015,372(1).
- [9]Saver, Jeffrey L.,Goyal, Mayank,Bonafe, Alain,etc.Stent-Retriever Thrombectomy after Intravenous t-PA vs. t-PA Alone in Stroke[J].2015,372(24).
- [10]Campbell, B. C. V.,Mitchell, P. J.,Kleinig, T. J.,etc.Endovascular Therapy for Ischemic Stroke with Perfusion-Imaging Selection[J].2015,372(11).
- [11]Wei, Daniel,Oxley, Thomas J.,Nistal, Dominic A.,etc.Mobile Interventional Stroke Teams Lead to Faster Treatment Times for Thrombectomy in Large Vessel Occlusion[J].2017,48(12).
- [12]Goyal, Mayank,Menon, Bijoy K.,Bonafe, Alain,etc.Optimal Workflow and Process-Based Performance Measures for Endovascular Therapy in Acute Ischemic Stroke Analysis of the Solitaire FR Thrombectomy for Acute Revascularization Study[J].2014,45(7).