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目的探讨品质圈活动对急性缺血性脑卒中患者急诊救护质量的影响。方法选取2016年6月至2016年12月在该院进行品质圈活动的急性缺血性脑卒中患者37例作为观察组,并选取2015年6月至2015年12月进行常规急诊救治流程的急性缺血性脑卒中患者37例作为对照组,两组患者均行单纯静脉溶栓治疗。比较两组达标率(60 min内静脉溶栓完成情况和完成头颅CT<25 min情况)及静脉溶栓所用时间。结果观察组患者家属决策时间[(19.38±4.25)min]、静脉溶栓时间[(59.83±11.46)min]均较对照组[分别为(38.56±4.13)、(78.34±12.45)min],差异均有统计学意义(P<0.05);观察组患者60 min内完成静脉溶栓及完成头颅CT<25 min达标率均高于对照组,差异均有统计学意义(P<0.05)。结论品质圈活动可有效提高急性缺血性脑卒中患者完成头颅CT<25 min及60 min内完成静脉溶栓情况,缩短静脉溶栓时间,促进急诊救护质量提高。
Objective To investigate the impact of quality circle activities on emergency rescue in acute ischemic stroke patients. Methods Thirty-seven patients with acute ischemic stroke who carried out quality circle activities in the hospital from June 2016 to December 2016 were selected as the observation group, and the acute emergency treatment routine was selected from June 2015 to December 2015 37 patients with ischemic stroke as a control group, both patients underwent simple intravenous thrombolysis. The compliance rate of the two groups (the completion of intravenous thrombolysis within 60 minutes and the completion of cranial CT <25 minutes) and the duration of intravenous thrombolysis were compared. Results The decision-making time of family members in the observation group was (19.38 ± 4.25) min and that of intravenous thrombolysis was (59.83 ± 11.46) min compared with the control group (38.56 ± 4.13 and 78.34 ± 12.45 min, respectively) (All P <0.05). The rate of completion of intravenous thrombolysis within 60 min and completion of cranial CT <25 min in the observation group were all significantly higher than those in the control group (P <0.05). Conclusion Quality circle activities can effectively improve the completion of intravenous thrombolysis in patients with acute ischemic stroke in <25 min and 60 min, shorten the time of intravenous thrombolysis, and improve the quality of emergency care.