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急性脑卒中的就诊延迟因素研究
引用本文:傅瑜,樊东升,张远锦,张新宇,刘小璇,张微微,张茁.急性脑卒中的就诊延迟因素研究[J].北京大学学报(医学版),2003,35(3):299-302.
作者姓名:傅瑜  樊东升  张远锦  张新宇  刘小璇  张微微  张茁
作者单位:1. 北京大学第三医院神经科,北京,100083
2. 北京军区总医院神经内科
3. 北京安贞医院神经内科
基金项目:卫生部部属(管)医疗机构临床学科重点项目;41623;
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2002年9月至2003年3月来我院就诊的300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210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。

关 键 词:急性脑卒中  就诊延迟因素  抵院方式  首诊地点  卒中类型
文章编号:1671-167X(2003)03-0299-04

Study of delaying hospital admission after acute stroke
Yu Fu,Dongsheng Fan,Yuanjin Zhang,Xiaoxuan Liu,Xinyu Zhang,Weiwei Zhang,Zhuo Zhang.Study of delaying hospital admission after acute stroke[J].Journal of Peking University:Health Sciences,2003,35(3):299-302.
Authors:Yu Fu  Dongsheng Fan  Yuanjin Zhang  Xiaoxuan Liu  Xinyu Zhang  Weiwei Zhang  Zhuo Zhang
Institution:Department of Neurology, Peking University Third Hospital, Beijing 100083, China.
Abstract: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 chi 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.
Keywords:Cerebrovascular accident/epidemiol  Acute disease  Retrospective studies
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