RONG Guirong, LIAO Chunyan, LI Hao, ZHANG Lili, TANG Yao, WANG Zhenran

( Affiliated Hospital of Guilin Medical University, Guilin 541001, China)

Abstract Objective To explore the application effect of optimization plan for emergency green channel strategy based on management by objectives( MBO) theory in the rescue of patients with acute ischemic stroke( AIS) . Methods 139 AIS patients who were admitted through the emergency green channel between January to December 2022 from a tertiary Grade A hospital in Guilin were as the observation group. And 151 patients of same type from January to December 2021 were selected as the control group. The control group were received the conventional emergency green channel method. The observation group were received the optimization plan for the green channel strategy for stroke emergency based on the goal management theory. The perfusion rate, the NIHSS score of nerve function defects, the average time from the emergency department and the incidence of complications of cerebral hemorrhage and gastrointestinal bleeding during treatment were compared between two groups. Results After treatment, the vascular reperfusion rate in the observation group was 86.33% higher than that of 58. 28% in the control group, showing a statistically significant difference ( P<0.05) . The NIHSS score before discharge in the observation group was lower than that in the control ( P < 0. 05) . The average time from the emergency department to the CT room and from the end of CTA+CTP to the result report in the observation group were shorter than those in the control group ( P < 0. 05 ) . During the treatment period, the incidence of gastrointestinal bleeding in the observation group was 2.16% lower than that in the control group, which was 5.30% ( P<0.05) . There was no statistical difference in the incidence of ICH between the two groups ( P>0.05) . Conclusion The optimization scheme of the green channel strategy for stroke emergency based on MBO theory can improve the patients′ perfusion rate, shorten the preoperative diagnosis time, reduce complications of gastrointestinal bleeding, and improve the treatment effect.

Keywords: acute ischemic stroke; management theory by objectives; optimization plan for emergency green channel strategy; reperfusion; time management

DOI:10.19296/j.cnki.1008-2409.2024-03-030

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