通讯作者: 陈天翔, zjutxchen@163.com

DOI：10.12201/bmr.202409.00007

Practice and exploration of the construction and operation of stroke centers under the background of medical aid to Xinjiang

• 摘要：总结上海医疗人才“组团式”援疆受援医院卒中中心建设及运行过程，为卒中中心建设单位及管理者提供参考依据。方法：调整卒中中心管理委员会，组建卒中中心救治专家组，成立管理办公室，设立卒中二线、卒中护士，卒中识别由急诊医生改为分诊护士，推行以CT室为中心的静脉溶栓治疗模式，明确各时间节点要求，开展全周期管理等措施，不断优化卒中救治流程，缩短救治时间，提升卒中救治和管理水平。结果：患者到院至开始静脉溶栓治疗时间（DNT）中位数从66min缩短至38min，救治流程优化前后DNT时间的比较有统计学差异（P＜0.001），患者到院就诊至股动脉穿刺时间（DPT）中位数从184min缩短至112min，培养出一支本地取栓团队，脑卒中关键技术实现“零”的突破。结论：通过加强组织管理、强化培训，结合医院实际不断调整优化卒中救治流程，为受援地区急性脑卒中患者提供了更优质、快速、有效的医疗服务。

  关键词： 卒中中心; 绿色通道建设; 医疗援疆

   

  Abstract: Objective To summarize the construction and operation of the stroke center of Shanghai medical talents group aid to Xinjiang and to provide reference for the construction of stroke center and managers. Methods Adjust the management committee of the stroke center, establish the stroke center treatment expert group and management office, set up the second-line stroke doctor and stroke nurses, stroke recognition changed from emergency doctors to triage nurses, implement the intravenous thrombolysis treatment mode with the CT room as the core, clarify the requirements of each time node, and carry out full-cycle management, so as to continuously optimize the stroke treatment process, shorten the treatment time, and improve the level of stroke treatment and management. Results The median time from arrival to initiation of intravenous thrombolysis (DNT) was shortened from 66 min to 38 min, and there was a statistically significant difference in the DNT time before and after the procedure optimization (P<0.001), The median time from hospital visit to femoral artery puncture (DPT) was shortened from 184 minutes to 112 minutes, Cultivate a local team for thrombectomy, and achieve a breakthrough of zero in key technologies for stroke. Conclusion By strengthening organization and management, strengthening training, and continuously adjusting and optimizing the stroke treatment process in combination with the actual situation of the hospital, to provide better quality, rapid and effective medical services for acute stroke patients in the recipient areas.

  Key words: stroke centers; green channel construction; Medical aid to Xinjiang

  提交时间：2024-09-03

  版权声明：作者本人独立拥有该论文的版权，预印本系统仅拥有论文的永久保存权利。任何人未经允许不得重复使用。
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• 序号	提交日期	编号	操作
  1	2024-08-12	bmr.202409.00007V1	下载

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