远程医疗会诊在区域化网络协同诊治急性缺血性脑卒中的应用研究

苟亚军; 胡俊; 李迎春; 喻恒; 陈康宁

doi:10.16016/j.1000-5404.202006245

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远程医疗会诊在区域化网络协同诊治急性缺血性脑卒中的应用研究

临床医学 | 更新时间：2026-01-09

- 远程医疗会诊在区域化网络协同诊治急性缺血性脑卒中的应用研究
- The Clinical Study of the Telemedicine Consultation System in the Diagnosis and Treatment ofthe Coordination of the Regionalization Network for Patients with Acute Ischemic Stroke
- 第三军医大学学报 2020年42卷第19期页码：1965-1970
- 作者机构：
- 作者简介：
- 基金信息：
  
  国家自然科学基金面上项目(81873755);重庆市沙坪坝决策咨询与管理创新项目(JCD201917);重庆市社会民生科技创新专项(cstc2015shmszx120048)
- DOI：10.16016/j.1000-5404.202006245
  中图分类号：
- 收稿：2020-06-29，
  
  纸质出版：2020-10-15
- 稿件说明：
移动端阅览
苟亚军, 胡俊, 李迎春, 等. 远程医疗会诊在区域化网络协同诊治急性缺血性脑卒中的应用研究[J]. 第三军医大学学报, 2020,42(19):1965-1970.

Yajun GOU, Jun HU, Yingchun LI, et al. The Clinical Study of the Telemedicine Consultation System in the Diagnosis and Treatment ofthe Coordination of the Regionalization Network for Patients with Acute Ischemic Stroke[J]. Journal of Third Military Medical University, 2020, 42(19): 1965-1970.
苟亚军, 胡俊, 李迎春, 等. 远程医疗会诊在区域化网络协同诊治急性缺血性脑卒中的应用研究[J]. 第三军医大学学报, 2020,42(19):1965-1970. DOI： 10.16016/j.1000-5404.202006245.

Yajun GOU, Jun HU, Yingchun LI, et al. The Clinical Study of the Telemedicine Consultation System in the Diagnosis and Treatment ofthe Coordination of the Regionalization Network for Patients with Acute Ischemic Stroke[J]. Journal of Third Military Medical University, 2020, 42(19): 1965-1970. DOI： 10.16016/j.1000-5404.202006245.

摘要

Abstract

Objective

To explore the clinical application and effect of the telemedicine consultation system in the diagnosis and treatment of the coordination of the regionalization network for patients with acute ischemic stroke.

Methods

A total of 60 patients with acute ischemic stroke admitted to our 2 hospital from January 2017 to December 2019 were enrolled in this study. Those admitted from January 2017 to December 2018 were assigned into control group because of their diagnosis and treatment under the coordination of the regionalization network

and those admitted between January and December 2019 were into observation group due to the performance of the telemedicine consultation system. The first medical contact time (FMCT)

admission to CTA time (door to imaging time

DIT)

and onset to needle time (ONT)

onset to door time (ODT)

door to needle time (DNT)

qualified rate (DNT≤60 min)

intravenous thrombolysis rate

length of hospital stay

incidences of complications

and treatment outcomes were observed and compared between the 2 groups.

Results

In the timeliness of diagnosis and treatment the observation group had significantly shorter DIT (32.10±7.44

61.71±21.38 min)

ONT (166.34±42.37

201.43±56.44 min) and DNT (64.97±14.43

101.02±41.40 min) when compared with the control group (

0.05). What's more

the qualified rate (59.3%

32.1%)

thrombolytic ratio (68.8%

42.0%)

hospitalization time (16.94±8.58

22.14±4.87 d)

complication incidence (6.3%

28.6%) and ratio of clinical outcome (3.1%

21.4%) were all better in observation group than the other group (

0.05).

Conclusion

When the telemedicine consultation system is applied in the diagnosis and treatment of the coordination of the regionalization network

the DIT

DNT and ONT times can be shortened

the thrombolytic ratio can be increased

the prognosis of patients can be improved

and the quality of medical care can be promoted for the patients with acute ischemic stroke.

关键词

Keywords

references

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