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脑卒中延迟就诊因素分析

Analysis of Delaying Presentation of Acute Stroke.

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【作者】 章昀丁美萍闻树群

【Author】 ZHANG Yun,DING Mei-ping,WEN Shu-qun.Department of Neurology,The second affiliated Hospital,School of Medicine,Zhejiang University,Zhejiang 310009,China

【机构】 浙江大学医学院附属二院浙江大学医学院附属二院 浙江杭州310009浙江杭州310009

【摘要】 目的初步探讨脑卒中就诊延迟的相关因素及其相应的处理对策。方法用问卷调查的方法收集239例急性脑卒中患者资料,采用χ2和Logistic回归模型分析就诊延迟的相关因素。结果发病6小时内就诊者占55.23%。就诊延迟主要与到达方式、卒中类型有关。62.62%的患者因不重视而就诊延迟。结论应提高公众特别是高危人群对卒中症状及危害性的认识,增强脑卒中诊疗的急救意识,建立并完善急诊急救医疗服务体系。

【Abstract】 Objective To explore the factors associated with hospital presentation delays after acute stroke and find the probable solution.Methods Use X~2 test and Logistic regressive model to analyze the collected 239 acute stroke patients’ data.Results 55.23% of patients arrived hospital within 6 hours after acute stroke.The delaying presentation was significantly associated with the following factors: referral pattern and stroke type. Conclusions Educational programs that increase public awareness of stroke symptom,danger of stroke and the need to seek medical help promptly after stroke may be the most successful in reducing the delay of hospital presentation.In addition,emergency services should also be improved.

【关键词】 脑卒中就诊时间延迟就诊
【Key words】 StrokeAdmission timeDelay presentation
  • 【文献出处】 心脑血管病防治 ,Prevention and Treatment of Cardio-Cerebral-Vascular Disease , 编辑部邮箱 ,2006年03期
  • 【分类号】R743
  • 【被引频次】10
  • 【下载频次】143
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