Study on the effect of green channel combined with time intervention on the efficiency of in-travenous thrombolysis and prognosis in acute ischemic stroke
Objective To explore the effect of green channel combined with time intervention on the efficiency of intravenous thrombolysis and prognosis in patients with acute ischemic stroke.Sixty-eight patients with acute ischemic stroke were selected in our hospital.Methods Of these patients,34 patients from January 2021 to June 2022 received green channel were taken as a control group.Another 34 cases from 2022 July to December 2023 accepted the green channel+time intervention were taken as an experimental group.The efficiency of intravenous thrombolysis,thrombolytic related indicators and prognosis were compared between the two groups.Results The intravenous thrombolysis rate at 2 and 3.5 hours after admission in the experimental group was significantly higher than that in the control group.The intravenous thrombolysis rate at 4.5 hours after admission in the experimental group was lower than that in the control group(P＜0.05).The time from admission to completion of CT scan,the time of stroke team consultation,and the door to needle time(DNT)in the experimental group were shorter than those in the control group.The DNT ≤60 min compliance rate in the experimental group was 88.24％that was higher than 64.71％in the control group and the length of hospital stay of the experimental group was shorter than that in the control group(P＜0.05).There were no significant differences in the conversion rate of cerebral hemorrhage and mortality between the two groups after thrombolysis(P＞0.05).Conclusions The green channel combined with time intervention has a significant intervention effect on patients with acute ischemic stroke.It can effectively improve the efficiency of intravenous thrombolysis and reduce the hospital stay time.
Green channelTime interventionAcute ischemic strokePrognosis
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