To explore the influence of the establishment of emergency stroke green channel on the treatment of acute ischemic stroke (AIS) patients in primary county hospitals.

A total of 179 patients with AIS, who were admitted to the emergency department of Dancheng County People's Hospital from November 2018 to November 2019, were selected as the control group. Another 202 patients with AIS admitted to the identical department after establishment of the green channel stroke management from January 2020 to December 2020 were enrolled as the study group. Both groups met the Chinese guidelines for the diagnosis and treatment of acute ischemic stroke 2018. The patients with contraindications of intravenous thrombolysis therapy were excluded. A retrospective analysis was conducted to compare thrombolysis rate and bleeding rate within 36 hours by χ2 test. Time from admission to thrombolytic therapy (DNT), recovery of neurological function defects 3 months after stroke and improvement of life quality between the two groups were compared by t-test.

The thrombolysis rate of AIS in the study group was 14.17%, higher than that in the control group (8.96%; χ2=19.747, P＜0.001). There was no significant difference of bleeding rate within 36 hours between groups (P＞0.05). DNT of the study group was (33.14±3.37)min and control group was (74.36±7.97)min, showing the statistically significant difference (t=26.872, P＜0.001). ΔNIHSS and ΔmRs score (11.12±2.95, 3.21±0.21) in the study group after 3 months were significantly better than that of the control group (6.83±3.30, 1.64±0.43) (t=21.181, 23.458; all P＜0.001).

After establishing stroke centers in county hospitals, the management of emergency stroke green channel could shorten the DNT in patients with acute ischemic stroke, which improves the efficiency of revascularization therapy and is conducive to the recovery of related functions.