Mô hình can thiệp cải thiện việc điều trị bệnh nhân đột quỵ não có chỉ định sử dụng thuốc tiêu huyết khối tại Bệnh viện Đa khoa Phố Nối giai đoạn 2021 -2022=Intervention model to improve the treatment of stroke patients with indications for using thrombolytic drugs at Pho Noi General Hospital from 2021 to 2022

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

Ngôn ngữ: vie

Ký hiệu phân loại:

Thông tin xuất bản: Y học cộng đồng, 2023

Mô tả vật lý: tr.295-301

Bộ sưu tập: Metadata

ID: 477666

Thêm vào giỏ

Acute stroke is an important and common medical emergency, which can lead to high mortality or severe disability if not treated promptly. The technique of using thrombolytic drugs in the treatment of acute stroke is an advanced technique that requires a large investment in human resources, equipment and operation of a reasonable emergency process in the hospital. Objective: To evaluate some initial results of the intervention model to improve the treatment of stroke patients with indications for using thrombolytic drugs. Method: Intervention study on all stroke patients at Pho Noi General Hospital using thrombolytic drugs. Results and conclusion: Improved the rate of ischemic stroke patients who were admitted early within 4.5 hours, but did not improve the rate of early patients who were indicated for thrombolytic injection. The intervention model helped to improve the emergency time of patients, although not statistically significant, and especially helped to improve the average door-to-needle time.Đột quỵ não cấp là một cấp cứu y khoa quan trọng và thường gặp, nếu không được điều trị kịp thời người bệnh có nguy cơ tử vong cao hoặc để lại di chứng rất nặng nề. Kỹ thuật sử dụng thuốc tiêu huyết khối trong điều trị đột quỵ não cấp là một kỹ thuật chuyên sâu đòi hỏi sự đầu tư lớn về đào tạo nhân lực, trang thiết bị và vận hành quy trình cấp cứu trong bệnh viện hợp lý. Mục tiêu: Đánh giá một số kết quả ban đầu của mô hình can thiệp cải thiện việc điều trị bệnh nhân đột quỵ não có chỉ định sử dụng thuốc tiêu huyết khối. Phương pháp: Nghiên cứu can thiệp toàn bộ bệnh nhân đột quỵ não tại bệnh viện đa khoa Phối nối bằng thuốc tiêu huyết khối. Kết quả và kết luận: Cải thiện tỷ lệ bệnh nhân nhồi máu não được cấp cứu tới sớm trong vòng 4,5 giờ đầu, tuy nhiên chưa cải thiện được tỷ lệ bệnh nhân đến sớm được chỉ định tiêm tiêu huyết khối. Mô hình can thiệp đã giúp cải thiện thời gian cấp cứu bệnh nhân tuy chưa có ý nghĩa thống kê và đặc biệt giúp cải thiện thời gian cửa - kim trung bình.

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