Impact of county level integrated intelligent emergency system on the blood gas analysis in-dicators and coagulation function in emergency stroke patients
Objective To observe the application effect of county level integrated intelligent emer-gency system in emergency stroke patients.Methods A total of 294 cases of 120 emergency stroke patients admitted to Taihe County People's Hospital of Anhui Province from January 2022 to December 2023 Patients with acute stroke from January to December 2022 were the control group,and patients with acute stroke from January to December 2023 were the study group.147 cases in the control group were treated with traditional emergency mode,and 147 cases in the study group were treated with county level integrated intelligent emer-gency system.The treatment time of each link[door-to-imaging time(DIT),imaging-to-needle time(INT),onset-to-door time(ODT),door-to-needle time(DNT)],neurological function[National Institutes of Health Stroke Scale(NIHSS)score],prognosis[Glasgow Outcome Scale(GOS)score was evaluated at 7 days after thrombolysis,the modified Rankin scale(mRS)score was≤2,hemorrhagic conversion rate,proportion of symptomatic intracranial hemorrhage],blood gas analysis indicators[arterial partial pressure of carbon dioxide(PaCO2),arterial partial pressureof oxygen(PaO2),blood oxygen saturation(SpO2)]and coagulation function[activated partial thromboplastin time(APTT),prothrombin time(PT),thrombin time(TT)]of each link were compared between the two groups.Results The DIT,INT,ODT and DNT of the study group were shorter than those of the control group,and the differences were statistically significant(P<0.05).24 hours af-ter thrombolysis,the NIHSS scores of the two groups were lower than those at the time of admission,and the NIHSS scores of the study group were lower than those of the control group,the difference was statistically significant(P<0.05).The GOS score on the 7th day after thrombolysis in the study group was higher than that in the control group,the proportion of mRS Score≤2 was higher than that in the control group,and the hemor-rhagic transformation rate was lower than that in the control group,and the difference was statistically signifi-cant(P<0.05).There was no significant difference in the proportion of symptomatic intracranial hemorrhage between the two groups(P>0.05).After treatment,the PaCO2 of the two groups was lower than that before treatment,and the PaCO2 of the study group was lower than that of the control group,and the difference was statistically significant(P<0.05).After treatment,PaO2,SpO2,APTT,PT and TT of the two groups were higher than those before treatment,and those of the study group were higher than those of the control group,and the differences were statistically significant(P<0.05).Conclusion The county level integrated intelligent emergency system can improve the rescue efficiency of emergency stroke patients,shorten the rescue time of each link,improve neurological function,prognosis,blood gas analysis indicators and coagulation function.
County level integrated intelligent emergency systemEmergency treatmentStroke
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