脑卒中患者的诊治延迟因素分析  

Delayed Factors in Diagnosis and Treatment of Patients with Stroke

作　　者：高凤霞[1] 张宝祥[1] 吕东[1] 朱献慧 李素梅[1] 倪朝雯 郭立志[1] 孟根宝 

机构地区：[1]包头市铁路医院神经内科,内蒙古包头014040

出　　处：《中国现代医生》2009年第31期11-13,共3页China Modern Doctor

基　　金：2007年通过包头市科委鉴定课题

摘　　要：目的分析影响急性脑卒中就诊及获得有效治疗的主要延迟相关因素。方法采用问卷调查的方法,选取2006年3～12月本院神经科住院急性脑卒中患者229例,统一标准,统一表格,对患者及(或)家属进行问卷调查,详细记录患者的起病时间及就诊过程,采用χ2和Logistic回归模型分析不同变量和就诊过程的相关因素。结果发病5h以内就诊的患者76例,占33.2%,脑出血早于脑梗死,患者和家属了解溶栓知识的占30.1%,就诊延迟主要因素与对急性脑卒中首发症状识别、轻重、超早期诊治知识不了解、不重视及独居有关。结论加强公众脑卒中相关医学教育,对减少这些因素的影响将具有重要意义。院内建立卒中绿色通道、诊疗欠规范有待改善。Objective To analyze the delayed factors in the diagnosis and effective treatment of acute stroke. Methods We selected 229 patients with acute stroke in our hospital from Mar. 2006 to Dec. 2006, and the patients and/or family members accepted a questionnaire survey with a unified standard and unified form, providing detailed records of patients about onset time and treatment process. Different variables and relevant factors in the treatment were analyzed by using Χ^2 and Logistic regression. Results There were 76 patients who accepted treatment within 5h, accounting for 33.2%, cerebral hemorrhage happened earlier than cerebral infarction and 30.1% patients and their families had the knowledge of thrombolysis. The main factors of delayed treatment were relevant to the recognition of the first symptom and the severity and the ultra-early diagnosis and treatment of knowledge of acute stroke as well as the fact of living alone. Conclusion It is of great importance to enhance public stroke-related medical education to reduce the impact of these factors. The establishment of green channel for stroke in hospital and the standardization of the diagnosis and treatment of the disease are very important.

关 键 词：脑卒中 就诊治疗时间 延迟 

分 类 号：R743.3[医药卫生—神经病学与精神病学]