[1]张文一李帅毛丽郑超张璇.急性脑梗死再灌注治疗管理模式研究[J].中国卫生质量管理,2022,29(05):029-33.[doi:10.13912/j.cnki.chqm.2022.29.5.08 ]
 ZHANG Wenyi,LI Shuai,MAO Li.Management Mode of Acute Ischemic Stroke Reperfusion Therapy[J].Chinese Health Quality Management,2022,29(05):029-33.[doi:10.13912/j.cnki.chqm.2022.29.5.08 ]
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急性脑梗死再灌注治疗管理模式研究
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《中国卫生质量管理》[ISSN:1006-7515/CN:CN 61-1283/R]

卷:
第29卷
期数:
2022年05期
页码:
029-33
栏目:
医疗质量
出版日期:
2022-05-28

文章信息/Info

Title:
Management Mode of Acute Ischemic Stroke Reperfusion Therapy
作者:
张文一李帅毛丽郑超张璇
解放军总医院医学创新研究部医院管理研究所
Author(s):
ZHANG WenyiLI ShuaiMAO Li
Medical Innovation Research Department, Hospital Management Research Institute
关键词:
急性脑梗死再灌注治疗急救专病管理医疗质量
Keywords:
Acute Ischemic Stroke Reperfusion Therapy First Aid Specific Disease Management Medical Quality
分类号:
R743.3;R197.323
DOI:
10.13912/j.cnki.chqm.2022.29.5.08
文献标志码:
B
摘要:
急性脑梗死发病率高、致残率高、致死率高,如何有效防治是医院管理的难题。某大型医院对急性脑梗死再灌注治疗管理模式进行了探索,搭建了救治绿色通道,组建了基于移动端的多学科协同诊疗模式,构建了急诊区域标准化诊疗路径,并应用科学的评价指标体系进行全流程监测,规范了急性脑梗死急救流程,推动了急性脑梗死再灌注治疗的规范化、标准化、系统化,显著提高了患者救治效率。但在院前急性脑梗死高危人群早期识别、院内急性脑梗死抢救过程质量监控等方面还需持续改进。
Abstract:
Acute Ischemic Stroke (AIS) has high incidence, high disability rate and high fatality rate. How to effectively prevent and cure AIS is a difficult problem for hospital management. One largescale hospital explored the management mode for the reperfusion treatment of AIS, set up the treatment for the green channel, constructed multidisciplinary collaborative diagnosis mode based on the mobile end, built the emergency path of standardized diagnosis and treatment, and applied scientific evaluation index system of the whole process monitoring,standardized emergency process for AIS. It had promoted the standardization and systematization of AIS reperfusion treatment, and significantly improved the treatment efficiency of patients. However, continuous improvement was needed in early recognition in pre-hospital AIS high-risk groups and quality monitoring of in-hospital AIS rescue process.

参考文献/References:

[1]中国疾病预防控制中心慢性非传染性疾病预防控制中心,国家卫生健康委统计信息中心.中国死因监测数据集2019[EB/OL].(2021-01-11)[2021-11-10].http://ncncd.chinacdc.cn/xzzq_1/202101/t20210111_223706.htm. [2]ZHOU MG,WANG HD,ZENG XY,et al.Mortality, morbidity, and risk factors in China and its provinces, 1990-2017:a systematic analysis for the Global Burden of Disease study 2017[J].Lancet,2019,394(10204):1145-1158. [3]WANG YJ,LI ZX,GU HQ,et al.China stroke statistics 2019: a report from the National Center for Healthcare Quality Management in Neurological Diseases, China National Clinical Research Center for Neurological Diseases, the Chinese Stroke Association, National Center for Chronic and Non-communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention and Institute for global neuroscience and stroke collaborations[EB/OL].(2020-09-24)[2021-11-10].https://m.medsci.cn/article/show_article.do?id=26ef201158dd. [4]FEIGIN VL,NGUYEN G,CERCY K, et al. Global,regional,and country-specific lifetime risks of stroke,1990 and 2016[J].N Engl J Med,2018,379(25):2429-2437. [5]中华医学会神经病学分会,中华医学会神经病学分会脑血管病学组.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(9):666-682. [6]SHARMA VK,NG KWP,VENETASUBRAMANIAN N,et al.Current status of intravenous thrombolysis for acute isehemie stroke in Asia[J].Int J Stroke,2011,6(6):523-530. [7]巢宝华,刘建民,王伊龙,等.中国脑卒中防治:成就、挑战和应对[J].中国循环杂志,2019,34(7):625-631. [8]王陇德,刘建民,杨 弋,等.我国脑卒中防治仍面临巨大挑战:《中国脑卒中防治报告2018》概要[J].中国循环杂志,2019,34(2):105-119. [9]张文武,徐 军,梁锦峰,等.加快社会急救体系建设,打造“5 min社会救援圈”[J].中华急诊医学杂志,2020,29(2):156-158. [10]裔雅萍,林 燕,刘 烨,等.急性缺血性脑卒中患者急诊快速时效管理体系的构建及其效果观察[J].中国中西医结合急救杂志,2019,26(6):709-712. [11]何红丽,王培席,浮荣莉.缺血性脑卒中患者院前转运情况对就诊时间的影响研究[J].中国全科医学,2012,15(23):2613-2615. [12]熊丽萍,肖晓玲,张东华,等.孝感市社区居民脑卒中防治知识知晓情况及其影响因素分析[J].护理管理杂志,2016,16(1):4-6. [13]武 伟,郝振华,武 燕,等.新冠肺炎救治远程即时多学科协作实践[J].中国数字医学,2020,15(10):130-133. [14]BARLINN J,GERBER J,BARLINN K,et al.Acute endovascular treatment delivery to ischemic stroke patients transferred within a telestroke network: a retrospective observational study[J].Int J Stroke,2017,12(5):502-509. [15]HERPICH,FRANZISKA MD,RINCON FM,et al.Management of acute ischemic stroke[J].Critical Care Medicine,2020,48(11):1654-1663. [16]JAUCH EC,CUCCHIARA B,ADEOYE O,et al.Part 11:adult stroke:2010 American heart association guidelines for cardiopulmonary resuscitation and emergency cardiovascular care[J].Circulation,2010,122(18Suppl 3):S818-S828. [17]JAUCH EC,SAVER JL,ADAMS HP,et al.Guidelines for the early management of patients with acute ischemic stroke: a guideline for healthcare professionals from the American Heart Association/American Stroke Association[J].Stroke,2013,44(3):870-947. [18]何 静,徐少银,吴 超,等.基于物联网的急诊专病绿色通道建设与应用[J].中国卫生质量管理,2018,25(5):43-46. [19]苏建华,韩 姝,张俊华,等. 脑卒中一体化管理对缩短急性缺血性脑卒中患者救治时间的影响[J].江苏卫生事业管理,2015,30(3):319-321.

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更新日期/Last Update: 2022-05-28