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目的：观察急诊全程优化绿色通道在抢救急性脑梗死患者的实施价值。方法选取2014年4月~2015年10月符合标准的连续60例脑梗死患者采用全程优化的治疗及护理路径即人员配置及监管优化、院外处理优化、评估病情及卒中应急流程优化、救护流程优化、转运及交接优化行静脉溶栓治疗作为观察组[1]，选取2013年4月~2014年3月符合标准的连续60例脑梗死患者采用传统流程行静脉溶栓治疗为对照组。两组进行救护时间、溶栓前及溶栓24 h后NIHSS评分、溶栓率及住院时间的比较。结果观察组患者从急诊挂号到静脉溶栓药物开始治疗的标准时间（Door to Needle Time,DNT）[2]，神经功能改善情况、溶栓率以及住院时间均明显短于对照组（P＜0.01）。结论优化脑梗死急救绿色通道有效缩短了急性脑梗死溶栓前院内等待时间，提高了溶栓率[3]。“,”Objective to investigate the value of emergency green channel in the treatment of patients with acute cerebral infarction (ACI). Methods Choose between April 2014 and October 2015 standard for 60 patients with cerebral infarction using the whole optimization of treatment and nursing path namely staffing and regulation optimization, the pre-hospital emergency treatment optimization, evaluating and stroke process optimization, rescue process optimization, transfer and transfer line optimization of intravenous thrombolysis treatment as a group, choose between April 2013 and March 2014 standard for 60 patients with cerebral infarction using traditional process line of intravenous thrombolysis treatment as control group. Two groups of patients before rescue time, thrombolysis and 24 hours after thrombolysis NIHSS score, the comparison of thrombolysis rate and length of hospital stay. Results There were no significant differences in sex, age, and onset-to-admission time between these 2 groups (all P>0.05). Compared witht the control group, the DNT and hospitalization time were both significantly shorter , the NIHSS score was significantly lower, and the thrombolysis rate was significantly higher in the observation groupo (all P<0.01). Conclusion The emergency green channel effectively shortens the waiting time of thrombolysis and raises the thrombolysis rate for the ACI patients.