Đánh giá kết quả mô hình can thiệp quản lý làm tăng cơ hội chỉ định điều trị bằng thuốc tiêu huyết khối trên người bệnh nhồi máu não cấp tại bệnh viện đa khoa Phố Nối, tỉnh Hưng Yên

0 Người đánh giá. Xếp hạng trung bình 0

Tác giả: Thị Hiền Hồ, Duy Tôn Mai, Thị Thúy Ngô

Ngôn ngữ: vie

Ký hiệu phân loại:

Thông tin xuất bản: Tạp chí Khoa học Nghiên cứu Sức khỏe và Phát triển, 2022

Mô tả vật lý: tr.102-109

Bộ sưu tập: Metadata

ID: 337109

Thêm vào giỏ Liên kết toàn văn

Mục tiêu: Để cải thiện tốt hơn tỷ lệ người bệnh nhồi máu não được tiêu huyết khối và hiệu quả điều trị nhồi máu não, bệnh viện đa khoa Phố Nối đã áp dụng mô hình can thiệp đa phương thức vào giai đoạn trước viện, trong viện và sau khi ra viện. Nghiên cứu được thực hiện với mục tiêu xác định tỷ lệ người bệnh đến sớm và kết quả điều trị nhồi máu não so với giai đoạn 2018 – 2020 chưa áp dụng mô hình can thiệp. Phương pháp nghiên cứu: Nghiên cứu quan sát mô tả cắt ngang được thực hiện tại bệnh viện đa khoa Phố Nối từ tháng 01 năm 2021 đến tháng 6 năm 2022. Kết quả: Kết quả cho thấy, tỷ lệ người bệnh đến sớm ở giai đoạn cửa sổ 4, 5 giờ và 6 giờ đầu từ khi khởi phát triệu chứng là 29,5% và 34,4%, đều cao hơn so với giai đoạn 2018-2020. Thời gian cửa-kim trung bình ở giai đoạn sau can thiệp là 58,0 ± 21,5 phút thấp hơn so với giai đoạn trước can thiệp là 64,6 ± 12,6 phút. Người bệnh nhồi máu não ở giai đoạn sau can thiệp có tỷ lệ điểm Rankin sửa đổi 0-2 sau điều trị là 53,6% cao hơn có ý nghĩa thống kê so với giai đoạn trước can thiệp là 44,6%. Kết luận: Sau 1,5 năm áp dụng mô hình can thiệp đa phương thức trong quản lý người bệnh đột quỵ não đã làm tăng tỷ lệ người bệnh đến sớm trong cửa sổ 4,5 giờ và 6 giờ đầu
giảm thời gian cửa-kim và tăng tỷ lệ người bệnh đạt kết quả mRS 0-2 sau điều trị.To improve the rate of patients with ischemic stroke who have treated with Alteplase and effective treatment, Pho Noi General Hospital has applied a multimodal intervention model in the pre-hospital and in-hospital stages, and after discharge. This study aims to evaluate the results of the model at Pho Noi General Hospital from January 2021 to June 2022 particularly the rate of early admits and the clinical outcome, and comparing with the period 2018 – 2020, which has not applied the intervention model. The study showed that 29.5% and 34.4% of patients came early at the 4.5 hour and 6 hours window after symptom onset, respectively, which were statistically significantly higher when they had compared with the period 2018- 2020. The door-needle time in the post-intervention period was 58.0 ± 21.5 minutes, which was statistically significantly lower than in the pre-intervention period, which was 64.6 ± 12.6 minutes. Patients being in the post-intervention stage had the rate of mRS 0-2 at discharge of 53.6%, which was statistically significantly higher than in the pre-intervention period of 44.6%. Conclusion: Our study shows that, after 1.5 years of applying the multimodal intervention model in the management of stroke patients in Pho Noi General hospital, the proportion of patients arriving early within the 4.5-hour and 6 hours window increased
decreased needle-todoor time and increased mRS 0-2 rate at discharge.

1. Đọc trực tuyến

1. Đọc trực tuyến

Tạo bộ sưu tập với mã QR