| Objective: To explore the impact of the construction of a stroke center on the prognosis of patients with acute ischemic stroke(AIS)Method: Select patients with AIS who were hospitalized in Huangshan People’s Hospital from November 1,2017 to October 31,2019.Taking the stroke center construction(November 1,2018)as the time node,the above patients were divided into a control group and an observation group.Compare the changes in some core quality control indicators of AIS treatment before and after the construction of the stroke center,such as the rate of patients arriving at the hospital within the time window,intravenous thrombolysis rate,thrombectomy treatment rate,bridging rate,mortality rate,antiplatelet and anticoagulation rate etc.And the changes of DNT in patients with intravenous thrombolysis,the changes of DPT and DRT in patients with thrombectomy treatment,NIHSS before and after treatment,the incidence of complications.Results: 1.There are 391 cases in the control group and 341 cases in the observation group.There are no differences in gender,age,smoking history,alcohol consumption history,atrial fibrillation history,hypertension history,diabetes history and NIHSS score at admission between the two groups(P>0.05).2.In the control group,102 cases(35.1%)were hospitalized within 6 hours of onset.In the observation group,195 cases(57.2%)were hospitalized within 6 hours of onset.The difference in hospitalizationwithin time window rate between the two groups was significant(P <0.01).3.The difference of NHISS score between discharge and admission was-1.78±3.75 between the control group and the control group,and-2.42±6.24 between the observation groups,with statistically significant difference(P <0.05).4.There were 44(15.1%)thrombolytic patients in the control group,then 106(31.1%)thrombolytic patients in the observation group;Three(0.11%)thrombectomy patients in the control group;but39(11.4%)thrombectomy patients in the observation group,of which 9(2.6%)patients under bridging therapy.5.The average DNT time of the control group was 65.50±22.48 minutes,the average time from admission to blood test report was 38.89±19.48 minutes,and the average time from admission to CT report was 36.38±19.24 minutes.The average DNT time of the observation group was 39.20±14.90 minutes,the average time from admission to blood test report was 30.87±16.71 minutes,and the average time from admission to CT report was 14.68±14.38 minutes.The difference was statistically significant(P <0.05).6.The average DPT time of the control group was 80.67±16.92 minutes,and the average DRT time was 343.33±160.03 minutes.The average DPT time of the observation group was 105.82±49.87 minutes,and the average DRT time was215.61±103.80 minutes,the difference was not statistically significant(P>0.05).7.There were 81 cardioembolic stroke patients in the control group,of which 48(59.3%)were given anticoagulant treatment.The observation group had 103 cardioembolic stroke cases,of which 76(73.8%)cases were treated with anticoagulation.The difference in anticoagulation rate between the two groups was different(P <0.05).In the control group,there were 193 antiplatelet patients(91.9%)and 225 patients(94.5%)in the observation group.There was no difference in the antiplatelet rate between the two groups(P>0.05).8.In the control group,complications occurred in 28 cases(9.6%).The complication rate of 27 patients(7.9%)in the observation group was not statistically significant(P>0.05).Conclusion: 1.The construction of stroke center optimizes the stroke green channel,shortens the time from DNT,admission to blood test report,admission to CT report,and increases the thrombolysis rate and thrombectomy rate.2.The construction of the stroke center has enriched the treatment methods(such as intravenous thrombolysis,endovascular treatment,bridging treatment),and the diagnosis and treatment of acute ischemic stroke is more standardized.3.The construction of a stroke center can improve the short-term efficacy of AIS patients. |
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