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| 急性ST段抬高型心肌梗死患者治疗延迟时间分布及其影响因素 | |
| 引用本文： | 李常洪,郭金成,许敏,崔纳,张红,陈宏立. 急性ST段抬高型心肌梗死患者治疗延迟时间分布及其影响因素[J]. 实用心脑肺血管病杂志, 2010, 18(3): 304-306 |
| 作者姓名： | 李常洪 郭金成 许敏 崔纳 张红 陈宏立 |
| 作者单位： | 1. 通州区西集镇卫生院,北京市,101106 2. 北京潞河医院心内科 3. 通州区潞城卫生院 4. 通州区永乐店卫生院 |
| 摘 要： | 目的调查急性ST段抬高型心肌梗死(STEMI)患者症状发作-到达医院及开始治疗的时间,分析导致院前和院内延迟相关因素。方法前瞻性调查连续住院的329例STEMI患者,分析社会描述性变量、临床、心理因素等对院前延迟的影响。将门-住院时间分成≤60min和60min两组,分析延迟因素。并做心肌梗死知识及来源调查。结果多元logistic回归分析表明:危险因素3个、发病时担心打扰别人与院前延迟长有关,而症状进展、重视反应和直接到定点医院则与院前延迟短有关。影响患者门-住院的因素是急救车转运、急诊就医和就诊1次。结论患者发病后到院及院内延迟明显,需加强对公众的健康教育,提高患者症状发作后的求医意识,提倡急救车转运,缩短签字同意时间,同时强调减少院内环节,缩短院内延迟。 |
| 关 键 词： | 心肌梗死 延迟 影响因素 |
Time Distribution of Pre-hospital and In-hospital Delay and Causes in Patients with Acute ST-segment Elevation Myocardial Infarciton |
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| LI Chang-hong,GUO Jin-cheng,XU Min,et al.. Time Distribution of Pre-hospital and In-hospital Delay and Causes in Patients with Acute ST-segment Elevation Myocardial Infarciton[J]. Practical Journal of Cardiac Cerebral Pneumal and Vascular Disease, 2010, 18(3): 304-306 | |
| Authors: | LI Chang-hong GUO Jin-cheng XU Min et al. |
| Affiliation: | LI Chang-hong,GUO Jin-cheng,XU Min,et al.Xiji Township hospital,Tongzhou District,Beijing 101106,China |
| Abstract: | Objective To investigate the delay in time from symptoms onset to arrival at the hospital and time to treatment and to evaluate the factors associated with the delay in patients with acute ST elevation myocardial infarction(STEMI).Methods In this prospective study,329 consecutive patients with confirmed STEMI admitted to hospital were studied between September,2006 and July,2009.The factors influencing prehospital delay were explored.Door to admission time was also divided into two groups:less than 60 minut... |
| Keywords: | Myocardial infarction Delay Influencing factors |
| 本文献已被 CNKI 维普 万方数据 等数据库收录！ | |