湛江地区急性缺血性脑卒中静脉溶栓延迟患方因素调查分析  

Investigation on the patient factors for delayed intravenous thrombolysis in acute ischemic stroke patients in Zhanjiang

作　　者：梁余航[1] 杨春超[1] 庞伟 高宏章[3] LIANG Yu-hang YANG Chun-chao PANG Wei GAO Hong-zhang(Central People＇s Hospital of Zhanjiang, Zhanjiang 524003, China The Second People＇s Hospital of Zhanjiang, Zhanjiang 524003, China Shuixi People＇s Hospital, Zhanjiang 524300, China)

机构地区：[1]广东省湛江中心人民医院,广东湛江524037 [2]广东省湛江第二人民医院,广东湛江524003 [3]广东省遂溪县人民医院,广东湛江524300

出　　处：《广东医科大学学报》2017年第2期122-125,共4页Journal of Guangdong Medical University

摘　　要：目的调查湛江地区缺血性脑卒中患者延迟静脉溶栓中患方的影响因素。方法对湛江市、县区3家医院共191例缺血性脑卒中静脉溶栓患者进行回顾性调查,采用问卷形式调查患者一般情况、延迟静脉溶栓原因,并统计患方院前延迟送诊、院内延迟溶栓时间。结果院前延迟送诊平均时间(81.5±40.8)min,主要原因是:30.4%患者等待重要家人回家做决定,23.0%患者等待症状是否可自行改善,14.1%寻求附近邻居、朋友或医生的帮助等;院内延迟溶栓平均时间(43.6±27.4)min,主要原因是:54.5%患者等待重要家人做决定,17.3%患者寻求其他人的帮助或询问他人,11.5%患者担心溶栓的副作用而犹豫不决等。结论缺血性脑卒中患者溶栓院前、院内延迟现象普遍,建议相关部门加大力度进行防治宣传教育,同时建议将溶栓治疗制定为基本治疗原则,免除签署知情谈话及签字,使治疗流程通畅,与国际接轨。Objective To investigate the patient factors for delayed intravenous thrombolysis in acute ischemic stroke patients in Zhanjiang. Methods A total of 191 patients with ischemic stroke and intravenous thrombolysis were retrospectively surveyed in three hospitals in Zhanjiang. Questionnaires were used to investigate the general condition of patients and the reasons for delayed intravenous thrombolysis. Delayed visit of patients and the time for delayed thrombolysis were statistically analyzed. Results The average delay of hospital visit was （81.5±40.8） min, and the main reasons were： 30.4% of patients waited for important family members to make a decision, 23.0% waited for a self-improvement of symptoms, 14.1% sought the help from neighborhoods, friends or doctors; The average delay of thrombolysis in the hospital was （43.6± 27.4） min, and the main reasons were： 54.5% of patients waited for important family to make a decision, 17.3% sought the help from other people or inquired others and 11.5% hesitated due to worries of side effects. Conclusion The delay of thrombolysis in ischemic stroke patients before sending to the hospital and in the hospital is very common. It is suggested that relevant authorities shall intensify the publicity and education of the prevention and treatment. It is also suggested to specify thrombolytic therapy as a basic therapeutic principle and exempt it from informed conversation and signature, so as to enable a therapeutic course that is unobstructed and in line with international standards.

关 键 词：急性 缺血性卒中 静脉溶栓 延迟 患方因素 

分 类 号：R743.3[医药卫生—神经病学与精神病学]