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

作　　者：陈荣波[1] 许伟雄[2] 詹俊青[3] 郑璇[1] 

机构地区：[1]汕头大学医学院第一附属医院神经内科,汕头515000 [2]汕头大学医学院第一附属医院影像科,汕头515000 [3]汕头大学医学院第一附属医院急诊科,汕头515000

出　　处：《中国实用神经疾病杂志》2013年第9期1-3,共3页Chinese Journal of Practical Nervous Diseases

基　　金：2011年度汕头市科技局重点科技计划项目(汕府科20114604)

摘　　要：目的分析影响脑梗死患者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2011-06—2012-11来院就诊的182例急性脑梗死患者,对患者及家属进行问卷调查,详细记录患者发病时间及就诊过程,采用卡方检验和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/MTR证实,对病情不重视、对卒中知识不了解以及抵院方式、首次就诊医院等有关。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,加强公众脑卒中相关医学知识教育,对减少这些因素的影响将具有重要意义。Objective To analyze the related factors of delaying hospital admission of patients after acute ischemic stroke, in order to find good solution. Methods We studied 182 patients with acute ischemic stroke from Jun. 2011 to Nov. 2012 in our neurological department and used χ2 test and Logistic model to analyze the collected data. Results The stroke subtypes were confirmed by CT or MRI scan in all the patients. The factors related to delaying visit including the less attention of stroke onset, the pattern of arriving hospital and going to the emergency room directly. Conclusion There are many factors account- ing 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：R743.33[医药卫生—神经病学与精神病学]