四川省仪陇县急性缺血性脑卒中就诊时间延迟的影响因素  

Influencing factors of delay in treatment of acute ischemic stroke of patients in Yilong

作　　者：张明[1] 唐丽君[1] 郑永平[1] 陈静 李密 鲜婷婷 Zhang Ming;Tang Li-jun;Zheng Yong-ping;Chen Jing;Li Mi;Xian Ting-ting(Department of Neurology,The People's Hospital of Yilong,Yilong 637600,Sichuan)

机构地区：[1]仪陇县人民医院神经内科

出　　处：《四川生理科学杂志》2020年第1期11-15,34,共6页Sichuan Journal of Physiological Sciences

基　　金：四川省基层卫生事业发展研究中心2018年立项项目（编号：SWFZ18-Y-9)

摘　　要：目的:探讨四川省仪陇县急性缺血性脑卒中就诊时间延迟的影响因素。方法:选择2017年2月至2019年1月在四川省仪陇县地区4家医院就诊的893例急性缺血性脑卒中患者进行调查。根据患者发病至入院治疗时间将其分为2组,其中就诊时间在6 h以内者为观察组(共145例),就诊时间超过6 h者为对照组(共748例)。采用现场问卷调查的方法进行研究,调查工具包括:自制一般情况调查表、《大五人格量表简化版》、《脑卒中健康知识问卷》。单因素分析采用X2检验或t检验,多因素分析采用Logistic回归分析。结果:单因素分析显示:性别、年龄、文化程度、家庭月收入、医疗费用支付方式、家族史、慢性病史、距离医疗机构车程及《脑卒中健康知识问卷》得分的不同,急性缺血性脑卒中就诊时间延迟情况具有统计学差异(P<0.05)。多因素非条件Logistic回归分析显示:女性、文化程度高中及中专、大专及以上、医疗费用支付方式为社保、公费、有家族史、有慢性病史、《脑卒中健康知识问卷》得分为四川省仪陇县地区急性缺血性脑卒中就诊时间延迟的独立性保护因素;年龄、距离医疗机构车程为独立性危险因素(P<0.05)。结论:四川省仪陇县地区急性缺血性脑卒中就诊时间延迟发生率较高,年龄、性别、文化程度、医疗费用支付方式、家族史、慢性病史、疾病知晓度及距离医疗机构距离为独立性影响因素,临床上应对针对性进行干预。Objective:To investigate the incluencing factors of delayed visiting time of acute ischemic stroke in Yilong.Methods:A total of 893 patients with acute ischemic stroke admitted to four hospitals in Yilong from February 2017 to January 2019 were enrolled.According to the time from onset to admission,the patients were divided into two groups.One hundred and fourty-five patients with the treatment time less than 6 hours were assigned to the observation group,while 748 patients with the treatment time more than 6 hours were assigned to the control group.The study was conducted by an on-site questionnaire survey including a self-made general questionair,a simplified version of NEO-FFI,and a Stroke Health Knowledge Questionnaire.Univariate analysis was performed using X2 test or t test.The multivariate analysis was performed using logistic regression analysis.Results:Multi-factor unconditional logistic regression analysis showed that gender,education,social medical insurance,family history,chronic medical history,and stroke health knowledge were the independent protective factors.Age and distance to hospitals were independent risk factors(P<0.05).Conclusion:Clinical intervention should be targeted to these risk factors and protective factors.

关 键 词：四川省仪陇县地区 急性缺血性脑卒中 就诊时间延迟 影响因素分析 

分 类 号：R743.3[医药卫生—神经病学与精神病学]