急性ST段抬高型心肌梗死患者院前延误的相关因素  

Factors Associated with Pre-hospital Delay in Patients with ST-Elevation Myocardial Infarction

作　　者：陈剑峰[1] 薛书峰[1] 张守彦[1] 段卡丹[1] 王静[1] 

机构地区：[1]郑州大学附属洛阳中心医院心内科,河南洛阳471009

出　　处：《医学与哲学（B）》2017年第2期49-51,共3页Medicine & Philosophy(B)

摘　　要：本研究的目的是评估急性心肌梗死患者院前延误的原因,包括社会经济学和个人因素等。选取327例急性ST段抬高型心肌梗死(STEMI)患者,详细记录患者人口学资料,受教育水平,婚姻状况,何种方式就诊于医院及院前延误时间。35.7%的患者在症状发作的2小时内到达医院,7.9%患者在症状发作24小时后到达医院。经多因素回归分析,已婚,高学历,既往有心肌梗死病史,将自己的症状归结为心脏原因,具有的疼痛症状和非疼痛症状数量多,发病时不在家,发病时有陪同者,发病后呼叫EMS是院前延误时间短的相关因素(P<0.05)。增加患者对心血管症状和危险因素的认识,教育患者一旦出现症状,立即呼叫急救系统可能缩短院前延误时间。The aim of this study is to evaluate the causes of pre-hospital delay,such as socioeconomic and personal factors in patients with STEMI.A study was carried out on 327 patients with acute myocardial infarction.Demographic data,educational level,marital status,type of transfer to hospital and delay in arrival to hospital were recorded.35.7% patients arrived during two hour of symptom onset,and 7.9% arrived after 24 hours.Logistic regression modeling revealed,married,highly educated,previous myocardial infarction,their symptoms attributed to cardiac causes,with the pain and non-pain symptoms and number,not at home when the disease,accompanied by the onset,after the onset of the call is prehospital EMS short delays related factors（P〈0.05）.Increasing awareness of patients about cardiovascular symptoms and their risk factors could be helpful in patient＇s decision in seeking medical help.Once symptoms appear,immediately calling the emergency system may reduce prehospital delay time.

关 键 词：急性心肌梗死 院前延误 教育 

分 类 号：R541.4[医药卫生—心血管疾病]