增城地区脑梗死患者就诊延迟的影响因素分析  

Analysis of Delaying Hospital Admission after Acute Ischemic Stroke in Zengcheng

作　　者：赖颂辉[1] 郭建军[1] 钟健强[1] 李玉香[1] 邹蓉[1] 李牧[1] 苏海芳[1] 王秀珍[1] 

机构地区：[1]中山大学附属博济医院(增城市人民医院)内科,511300

出　　处：《中国医药指南》2010年第32期5-6,31,共3页Guide of China Medicine

基　　金：广州市医药卫生科技资助项目(2008-YB-198)

摘　　要：目的探索造成脑梗死急性期就诊延迟的相关因素,从而寻找可能的解决办法。方法采用问卷调查的方法,随机选取2008年9月至2010年6月来院就诊的280例急性脑梗死患者,采用t检验、2检验和Logistic回归模型分析就诊延迟的相关因素。结果全部脑梗死患者均经头颅CT/MRI证实,与就诊延迟最重要的相关因素是患者对脑梗死的认识,其次分别为抵院方式、发病地点距医院距离。结论导致急性脑梗死患者就诊延迟的相关因素很多,其中最重要原因是患者对脑梗死早期诊治认识不足,加强公众相关医学知识教育对减少这些因素的影响将具有重要意义。Objective This study aimed to explore the association between hospital admission after acute ischemic stroke and delaying factors and try to determine the factors that delay hospital admission and treatment, in order to find good solution. Methods We studied 280 patients with acute ischemic stroke from Sep. 2008 to Jun. 2010 in our neurology department and used student＇s test,2 test or logistic model to analyze the collected data.Results The stroke subtypes were confirmed by CT or MRI scan in all the patients.The most important factor associated with a delay in reaching the hospital was the patient＇s knowledge about ischemic stroke.Other factors associated with a delay were the pattern of arriving hospita1 and the distance from the hospital.Conclusion There were many factors account for delayed consultation.The most important reason for hospital admission delay is that they do not pay enough attention.Public and medical personnel education could result in significant reduction of these delays.

关 键 词：脑梗死 就诊时间 延迟 影响因素 

分 类 号：R743.3[医药卫生—神经病学与精神病学]