Analyzing the Effectiveness of the EMS Transfer Joint Green Channel Model in Emergency Treatment of Acute Ischemic Stroke Patients

ZHOU Guofeng

doi:10.13919/j.issn.2095-6274.ZHJY202405019

Abstract：Objective To explore the value of the emergency medical services(EMS)transfer mode+green channel mode in the treatment of acute ischemic stroke.Methods A retrospective analysis of 280 acute ischemic stroke patients admitted to 6 hospitals in Nanjing from January 2022 to January 2024 was conducted.Ac-cording to the different prehospital emergency medical services methods,they were divided into the study group(EMS transfer joint green channel mode,n=140)and the control group(self-admission,n=140).The treatment time,neurological function,activities of daily living,and prognosis were compared between the two groups.Results The time from onset to admission(ODT),door-to-CT time(DTC),door-to-thrombolysis time(DNT),and on-set-to-thrombolysis time(ONT)in the study group were significantly shorter than those in the control group(P＜0.05).Before treatment,there was no significant difference in NIHSS score and BI score between the two groups(P＞0.05);after treatment,both groups of patients showed a significant decrease in NIHSS scores and a significant increase in BI scores,whilethe decrease in NIHSS score(P＜0.001)and the increase in BI score in the study group were more significant than those in the control group(P＜0.001).At 3-month follow-up,comparing the MRS scores of the two groups,it was found that the number of patients without significant sequelae in the study group was significant-ly higher than that in the control group(P＜0.05);the number of patients with mild cognitive impairment in the study group was significantly lower than that in the control group(P＜0.05);there was no significant difference in the number of patients with severe disability and the number of deaths within 3 months between the two groups(P＞0.05).Conclusion The EMS transfer+green channel mode can effectively shorten the treatment time of patients with acute ischemic stroke,reduce the degree of neurological function damage,improve activities of daily living,enhance thrombolysis efficacy,and have a positive effect on improving prognosis.