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目的：探讨急性缺血性脑卒中急诊溶栓绿色通道在基层医院建设的方法和意义。方法采用整群抽样法，将2012年4月~2014年3月肇庆市第二人民医院全部急性缺血性卒中和实施溶栓病例作为观察对象。建立绿色通道后病例为治疗组共667例，实施绿色通道诊治流程进行诊疗；对照组628例，按常规方法治疗。观察两组临床疗效、溶栓率、DNT时间等指标的变化。结果治疗组溶栓率为2.8%（19/667），显著高于对照组0.9%（6/628）；治疗组到医院至溶栓时间（DNT）为（59.16±11.86）min，显著短于对照组[（136.56±16.98）min，P＜0.05]。结论对急性缺血性卒中患者实施绿色通道流程诊治，组织管理效果显著，值得在基层医院推广。“,”Objective To explore how to establish a first aid fast track for acute ischemic stroke patients in the emergency department in primary level hospital. Methods A total of 1,295 acute ischemic stroke patients were divided into two groups, the first aid fast track group (n=667), and the control group (n=628). Their clinical effect, such as thrombolysis rate and DNT were compared between the two groups. Results It reflected 2.8% on thrombolysis rate of the first aid group comparing with 0.9% of the control group, 59.16±11.86 minutes on DNT comparing with 136.56±16.98 minutes (P <0.05). Conclusion Application of the first aid fast track is considered being effective and efficient for acute ischemic stroke patients, and it is highly recommended in clinical practices.