急性中风患者延迟就诊原因分析

目的研究探讨急性中风患者院前延误就诊程度及其原因，对普及卫生保健常识、中风的预防治疗有一定意义。方法综合考虑诸如社会经济地位、在出现症状时运送的方式等。统计数据从医院获得，以问卷方式掌握如下问题：人口统计、自我报告危险因素、有关去医院情况。结论大约31．6％患者在发病3h后到达医院。大约1／3的患者因为他们等待症状消失而拖延了去医院，另外1／3的患者未及时就医是因为他们不知道及时就医的重要性。在利用救护车运送和到达医院用时之间有显著相关性，在中风的危险因素和就医拖延之间无显著相关性。结论这个研究结果可能对普及教育人们的卫生保健常识、中风的预防保健有一定意义。

Multiple Causes For Delay In Arrival At Hospital In Acute Stroke Patients

Objective To assess the level ofpre-hospital delay and reasons for such delay in acute stroke patients, These results will likely be helpful to health care decision makers as they develop a model for stroke health care and community based training. Method To take into consideration certain factors such as socioeconomic status, availability of transport options at onset of symptoms. Data were collected from hospital records, and a questionnaire was administered that included questions about socio-demographics, self-reported risk factors and questions related to hospital arrival. Results The rate of patients arriving at the hospital more than 3 hours after symptom onset was found to be 31.6% for this study. Approximately 1/3 of patients delayed going to the hospital because they were waiting for symptoms to go away while 1/3 of patients were not aware of the importance of seeking immediate medical help. There was a significant relationship between the use of ambulance transportation and length of time before arrival at the hospitals, though there was no statistically significantly relationship between the existence of stroke risk factors and hospital arrival delay.Conclusion These results will likely be helpful to health care decision makers as they develop a model for stroke health care and community based training.