FOCUS-PDCA对提高急性缺血性脑卒中患者溶栓效果的影响-国际内科前沿杂志-CSCIED科技核心评价数据库-手机版

FOCUS-PDCA对提高急性缺血性脑卒中患者溶栓效果的影响

Effect of FOCUS-PDCA on improving thrombolytic effect in patients with acute ischemic stroke

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DOI	10.12208/j. ijim.20220080
刊名	国际内科前沿杂志 International Journal of Internal Medicine
年，卷(期)	2022, 3(3)
作者	简国武*,张娟,何鸿烨,晏鑫,龚丛芬,
作者单位	十堰市太和医院湖北十堰 ;
摘要	研究FOCUS-PDCA在缩短急性脑卒中患者DNT（door to needle time，DNT）时间中的应用效果。方法从十堰市某三甲医院病案管理系统选取FOCUS-PDCA 实施前后共235例进入脑卒中绿色通道的溶栓患者，对照组99例患者，观察组136例患者，比较患者溶栓率、DNT时间等指标差异。结果运用FOCUS-PDCA管理后，DNT时间由52min减少至43min，DNT≤47min的比例也由35.35%上升至68.38%，时间窗内到院溶栓率也由54.32%提高到89.75%，患者溶栓后24h、出院前NIHSS评分比较，差异显著（p＜0.05）。结论 FOCUS-PDCA可促进急性缺血性脑卒中静脉溶栓流程优化，缩短DNT，提高患者溶栓率。
Abstract	Objective To study the application effect of FOCUS-PDCA in shortening DNT (door to needle time, DNT) time in patients with acute stroke. Methods A total of 235 thrombolytic patients who entered the stroke green channel before and after the implementation of FOCUS-PDCA were selected from the medical record mana- gement system of a tertiary hospital in Shiyan City, 99 patients in the control group and 136 patients in the observa- tion group, and the thrombolytic rate and DNT time of the patients were compared. Indicator differences. Results After FOCUS-PDCA management, the DNT time was reduced from 52 minutes to 43 minutes, the proportion of DNT≤47 minutes also increased from 35.35% to 68.38%, and the thrombolysis rate within the time window also increased from 54.32% to 89.75%. There was a significant difference in the NIHSS scores after 24 hours and before discharge (p<0.05). Conclusion FOCUS-PDCA can promote the optimization of intravenous thrombolysis process in acute ischemic stroke, shorten DNT, and improve the thrombolysis rate of patients.
关键词	FOCUS-PDCA；急性缺血性脑卒中；静脉溶栓
KeyWord	FOCUS-PDCA; Acute ischemic stroke; Intravenous thrombolysis
基金项目
页码	45-48

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[1] 程煜晖.急诊快捷护理流程在急性脑卒中患者救治中的效果[J].中国医药指南,2021,19(33):160-161.

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[4] 彭斌,吴波.《中国急性缺血性脑卒中诊治指南2018》[J].中华神经科杂志. 2018,51(09) :666-682

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引用本文

简国武*,张娟,何鸿烨,晏鑫,龚丛芬. FOCUS-PDCA对提高急性缺血性脑卒中患者溶栓效果的影响 [J]. 国际内科前沿杂志. 2022; 3; (3). 45 - 48.

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