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某市急性脑卒中患者就诊时间及其影响因素分析 预览

Analysis of Diagnosis Time and Its Influencing Factors of Patients with Acute Stroke in Some City
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摘要 目的探讨某市急性脑卒中就诊时间及其影响因素。方法收集2015年1—12月在急诊科就诊的首次发作的脑卒中患者646例,记录就诊时间、到达急诊科的方式,分析脑卒中类型、职业、文化程度及首发症状对就诊时间是否有影响。结果 646例患者中,仅17.80%的患者在发病〈2 h到达医院就诊,22.45%的患者在发病2~6 h到医院就诊,到达急诊室最常见的转运方式是公交车。脑出血、高中及以上文化程度、干部就诊时间≤6 h比例高。首发症状以癫痫发作、意识障碍、头痛以及≥3个症状的患者就诊时间短。结论公众对脑卒中的识别能力低、急救意识差,院前急救模式不完善,应完善急救模式并加强对救护人员的脑卒中救治的规范化培训。 Objective To study the diagnosis time and its influencing factors of patients with acute stroke in some city.Methods 646 cases of patients with first-seizure stroke in the department of emergency from January to December2015 were selected, and the diagnosis time, arrival method were recorded, and the stroke type, career, cultural degree and effect on the first symptoms were analyzed. Results Of 646 cases, only 17.80% arrived at the hospital in onset 2 h, and 22.45% in onset 2 ~6 h, and the most common transfer method was the bus, and the ratio of cerebral hemorrhage, senile school or above, cadre diagnosis time ≤ 6 h was the highest, and the diagnosis time of patients whose first symptoms were mainly epileptic seizures, disturbance of consciousness and headache ≥3 was short. Conclusion The identification ability of the public to the stroke is low, with bad emergency awareness, and the pre-hospital emergency model is not perfect, and we should enhance the emergency model and enhance the standardized training of stroke rescue of staff.
作者 方英 唐晓军 陈艳 何晓玲 FANG Ying, TANG Xiao-jun, CHEN Yan, HE Xiao-ling (Department of Emergency, Jianyang People's Hospital, Jianyang, Sichuan Province, 641400 China)
出处 《系统医学》 2018年第10期180-182,共3页
基金 四川省卫生厅科研项目(110576)
关键词 卒中 就诊时间 影响因素 Stroke Diagnosis time Influeneing factor
作者简介 方英(1981-),女,四川简阳人,本科,主管护师,主要从事急诊急救护理干预工作。
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