基于(1+1+N)紧密型医联体模式下的广州市白云区卒中防治

doi:10.3969/j.issn.1000-8535.2022.01.020

广州医药 ›› 2022, Vol. 53 ›› Issue (1): 96-100.DOI: 10.3969/j.issn.1000-8535.2022.01.020

基于(1+1+N)紧密型医联体模式下的广州市白云区卒中防治

陈浩博¹, 李泽¹, 龙信聪², 谭三智¹, 胡蓉¹, 杨勇¹, 许婷¹, 李曼¹, 欧阳登², 周卓晟¹, 曹杰¹

1 广州市第一人民医院(广州 510080)
2 白云区第二人民医院(广州 510000)

收稿日期:2021-08-19 出版日期:2022-01-20 发布日期:2022-04-12
通讯作者: 曹杰,E-mail:czhongt@126.com
基金资助:
广州市卫生健康科技重大项目(20191A031001)

Stroke prevention and treatment in Baiyun District based on the (1+1+N) compact medical consortium model

CHEN Haobo¹, LI Ze¹, LONG Xincong², TAN Sanzhi¹, HU Rong¹, YANG Yong¹, XU Ting¹, LI Man¹, OUYANG Deng², ZHOU Zhuosheng¹, CAO Jie¹

1 Guangzhou First People's Hospital, Guangzhou 510080,China
2 The Second People's Hospital of Baiyun District, Guangzhou 510000, China

Received:2021-08-19 Online:2022-01-20 Published:2022-04-12

摘要/Abstract

摘要： 目的探索老龄化形势下广州市白云区西部卒中防治工作的新模式。方法通过完善组织结构、管理架构、建立稳定高效运行的(1+1+N)紧密型医联体模式,创建优质高效的卒中救治区域联盟,实现高质量的基层首诊,双向转诊,快速响应的卒中绿道急救和全程管理。结果初步完成构建广州市白云区西部区域性卒中救治中心,区域内卒中患者及时救治,溶栓效率,血管再通等均有显著提升,整体提升白云区西部医疗机构的卒中救治水平。结论区域性的协同救治是提高卒中救治水平的重要举措。(1+1+N)紧密型医联体模式能提高卒中患者救治率,具有可行性和必要性。

关键词: 卒中防治, 紧密型医联体, 绿道救治, 双向转诊

Abstract: Objective To explore the effectiveness of a new stroke prevention and treatment pattern in the western part of Baiyun District, Guangzhou city, under an aging situation. Method We aim to build a high-quality and efficient stroke treatment regional alliance based on a (1+1+N) compact medical consortium, expecting to improve the overall abilities of stroke treatment in the western part of Baiyun District through high-quality primary care, two-way referrals, rapid response to stroke greenway emergency and full-process management. Results We have initially established a regional stroke treatment center in the western part of Baiyun District, Guangzhou. Stroke patients in that region can be treated in time, and the efficiency of thrombolysis and vascular recanalization have been significantly improved. Conclusion Regional coordinated treatment is an effective measure to reduce the disability and fatality rate of stroke. The (1+1+N) compact medical consortium model can improve the treatment effect in stroke patients, which is feasible and necessary.

Key words: stroke prevention and treatment, compact medical consortium, greenway treatment, two-way referral

陈浩博, 李泽, 龙信聪, 谭三智, 胡蓉, 杨勇, 许婷, 李曼, 欧阳登, 周卓晟, 曹杰. 基于(1+1+N)紧密型医联体模式下的广州市白云区卒中防治[J]. 广州医药, 2022, 53(1): 96-100.

CHEN Haobo, LI Ze, LONG Xincong, TAN Sanzhi, HU Rong, YANG Yong, XU Ting, LI Man, OUYANG Deng, ZHOU Zhuosheng, CAO Jie. Stroke prevention and treatment in Baiyun District based on the (1+1+N) compact medical consortium model[J]. Guangzhou Medical Journal, 2022, 53(1): 96-100.

参考文献

[1] 王陇德.中国脑卒中防治工程的现状与未来[J]. 第二军医大学学报,2018,39(9):941-943.
[2] 王拥军.缺血性卒中的二级预防[J].中华神经科杂志,2021,54(2):139-148.
[3] WANG W, JIANG B, SUN H, et al. Prevalence, incidence, and mortality of stroke in chinaclinical perspective: results from a nationwide Population-Based survey of 480687 adults[J]. Circulation, 2017, 135(8): 759.
[4] WANG Y, LI Z, ZHAO X, et al. Effect of a multifaceted quality improvement intervention on hospital personnel adherence to performance measures in patients with acute ischemic stroke in China: a randomized clinical trial[J]. JAMA, 2018,320(3):245-254.
[5] CHEN Y, WRIGHT N, GUO Y, et al. Mortality and recurrent vascular events after first incident stroke: a 9-year community-based study of 0.5 million Chinese adults[J]. The Lancet Global Health, 2020, 8(4): e580-e590.
[6] 黄翚,陈浩扬,杨勇,等.轻型缺血性卒中患者静脉溶栓的疗效分析[J].中国脑血管病杂志,2019,16(5):11-16.
[7] 李青松,陈珑,刘一之,等.动脉内机械取栓治疗急性后循环缺血性脑卒中临床效果及预后影响因素[J].中国介入影像与治疗学,2019(6):333-337.
[8] 周峰,施洪超,陆敏,等.静脉溶栓在急性前循环大血管闭塞性脑卒中血管内治疗中的作用[J].中华神经科杂志,2019,52(6):472-477.
[9] 彭斌.急性缺血性脑卒中的诊治[J].中华神经科杂志,2020,53(2):122-126.
[10] SCHERF S, LIMBURG M, WIMMERS R, et al. Increase in national intravenous thrombolysis rates for ischaemic stroke between 2005 and 2012: is bigger better?[J]. BMC Neurology, 2016, 16(1):1-6.
[11] 孔健华.卒中中心的建立对脑卒中患者的抢救、治疗及预后的影响研究[J].中国现代医生,2020,58(25):92-95.
[12] 赵红英,杨国涛,王文浩,等.时间追踪在缺血性卒中患者溶栓流程中的作用[J].解放军医药杂志,2015,27(8):60-63.
[13] 王贝贝.专职救护模式干预对缩短急性脑梗死患者DNT时间的影响[J].西藏医药,2019,40(4):133-134.
[14] 王力.品管圈活动在缩短急性缺血性卒中患者DNT中的价值[J].世界最新医学信息文摘,2017(84):154,234.
[15] 李子君.松散型医联体没未来? 或许真的是这样[J].健康管理,2016(10):1-2.

基于(1+1+N)紧密型医联体模式下的广州市白云区卒中防治

Stroke prevention and treatment in Baiyun District based on the (1+1+N) compact medical consortium model

PDF

可视化

摘要/Abstract

引用本文

使用本文

参考文献

相关文章 0

编辑推荐

Metrics

本文评价