摘要
目的 :分析影响急性脑卒中超早期获得有效治疗的主要就诊延迟相关因素 ,从而寻找可能的解决办法。方法 :采用问卷调查的方法 ,连续收集 2 0 0 2年 9月至 2 0 0 3年 3月来我院就诊的 30 0例急性脑卒中患者 ,采用 χ2 和Logistic回归模型分析就诊延迟的相关因素。 结果 :全部患者均经CT/MRI证实 ,其中脑梗死 2 10例 ,脑出血 80例 ,蛛网膜下腔出血 10例。与就诊延迟最重要的相关因素是抵院方式 ,其次分别为首诊地点、卒中类型和发病地点距医院距离。结论 :导致急性脑卒中患者就诊延迟的相关因素很多 ,其重要原因是患者对急性脑卒中超早期诊治认识不足 ,加强公众相关医学教育对减少这些因素的影响将具有重要意义。
Objective: To explore the association between hospital admission after acute 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 300 patients with acute stroke from Sep. 2002 to Mar. 2003 in our emergency department and used χ 2 test and logistic model to analyze the collected data. Results: The stroke subtypes were confirmed by CT or MRI scan in all the patients,including 210 cases of cerebral infarction, 80 cases of cerebral hemorrhage, and 10 cases of subarachnoid hemorrhage. The most important factor associated with a delay in reaching the hospital was the pattern of arriving hospital. Other factors associated with a delay were the referred hospital, stroke subtype and distance from the hospital. Conclusion: The majority of patients who are candidates for acute stroke arrive at the hospital after prolonged delays for multiple reasons. The main 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.
出处
《北京大学学报（医学版）》
CAS
CSCD
北大核心
2003年第3期299-302,共4页
Journal of Peking University:Health Sciences
基金
卫生部部属 (管 )医疗机构临床学科重点项目基金 ( 4 162 3 )~~
