Dayi County People’s Hospital was officially awarded by the State Health Commission as a comprehensive stroke prevention and treatment center unit

2022-06-20 0 By

Recently, the National Health Commission stroke prevention project committee officially awarded dayi County People’s Hospital to become a comprehensive prevention and treatment of stroke center unit!This was after the Health Commission of Sichuan province officially confirmed Dayi County People’s Hospital as the yi Stroke center of the State Brain Prevention and Control Commission, the work of the stroke center in the hospital was further recognized!This is the only comprehensive stroke prevention and treatment center in Dayi county officially granted by the Stroke Prevention and Treatment Engineering Committee of the National Health Commission.Stroke is characterized by high morbidity, high mortality, high disability rate and high recurrence rate.Cerebral blood flow is interrupted, and 1.9 million brain cells will die every minute. The treatment effect of stroke is highly time-dependent, and time = brain.The stroke Center of Dayi County People’s Hospital provided the quickest green channel and the most effective treatment for acute cerebrovascular disease in the county, which reduced the mortality and disability rate of stroke patients.The construction of the hospital’s stroke center is a director’s project, integrating resources, constantly optimizing the process, regularly supervising and assessing, and providing the best comprehensive treatment for stroke patients.In 2015, our hospital became one of the first stroke centers of The Chinese Stroke Association, and was promoted to the Comprehensive Stroke Center of the Chinese Stroke Association in 2019.In 2018, the hospital issued a document to establish a stroke center under the Stroke Prevention and Treatment Committee of the National Health Commission.The construction of the stroke center in the hospital adopts the mode of chimeric stroke center, with neurology department as the main body and other related departments as coordination.There are 8 treatment groups in the stroke center, including intravenous thrombolysis group, interventional treatment group, surgical treatment group, pre-hospital treatment group, medical technology group, nursing group, critical care group and rehabilitation group. All groups cooperate with each other to treat stroke patients.Since the establishment of the Stroke Center, the hospital has improved various treatment procedures, working systems and emergency plans, expanded its service scope from the hospital to the county, strengthened cooperation with West China Hospital of Sichuan University, Chengdu Fifth People’s Hospital and 120 Dispatching Center, and established a stroke treatment alliance with dayi County primary medical institutions.Dayi County People’s Hospital became the first map hospital for stroke in Sichuan Province.In order to further open green treatment in patients with stroke, stroke center through the establishment of dayi county work group of stroke, the medical work system software interchange and hospital department, the department can be synchronized methods such as image, test results and read the case, has realized the hospital treatment for patients with cerebral apoplexy information exchange in time, the county between stroke treatment system to realize information sharing in a timely manner.After the establishment of the stroke center, the treatment work continued to improve.In order to seize the golden treatment time with diseases, the location of thrombolysis has been moved from stroke ward to CT room since 2020. The treatment process of stroke patients has been adjusted timely according to the specific situation, and the one-stop green channel of treatment has been optimized continuously. DNT time (DNT refers to the time from admission to intravenous thrombolysis for stroke patients,The minimum time for Door to CT (Door to CT time refers to the time from stroke patient’s admission to emergency department CT completion, the minimum time for Door to CT is 17 minutes).The construction of hospital stroke center is a way of learning and innovation.After stroke patients receive interventional treatment in neurology and/or microsurgical treatment in neurosurgery, the department of rehabilitation medicine of the hospital will combine traditional rehabilitation mode with modern rehabilitation mode to specify individual rehabilitation programs.Through rehabilitation assessment, hemiplegic limb comprehensive training, occupational therapy, cognitive dysfunction training, speech training, swallowing dysfunction training, balance training, daily life movement training and traditional Chinese medicine rehabilitation and other diagnosis and treatment methods, to help patients complete follow-up rehabilitation treatment.Stroke prevention and treatment are equally important. Therefore, the hospital has set up a special clinic for stroke screening and follow-up.First, carry out primary prevention education for high-risk groups of stroke, screen and prevent high-risk factors, and reduce the incidence of stroke.Second, strengthen secondary prevention management for patients who have suffered from stroke, reduce sequelae of stroke and reduce recurrence rate.More than half of China’s population live in counties.In the context of hierarchical diagnosis and treatment, county-level hospitals are connected with grassroots medical services and urban high-quality medical resources, and serve as an important bridge to realize “primary diagnosis at grassroots level, two-way referral, separation of emergency and slow treatment, and linkage between upper and lower levels”.After becoming the first stroke prevention center in the county, the hospital will continue to strengthen its own capacity building, take the development of the county medical community as the carrier, improve the level of comprehensive treatment of stroke patients at the county level, cooperate with resource integration and regional unity, and achieve the goal of “no serious disease in the county” quality medical service.(Liu Jiangwei, Doctor Reported by Chen Yuanhang)