脑卒中患者诊治延迟因素的分析

Sources and reasons for delays in the care of acute stroke

目的 分析影响脑卒中就诊治疗时间的相关因素。方法 选取 2 0 0 2年 9月～ 2 0 0 4年 4月到本院神经内科住院的脑卒中患者 ,共 10 0 0例 ,统一标准 ,统一表格 ,对患者及 (或 )家属进行问卷调查 ,详细记录患者的起病时间及就诊过程 ,用卡方检验和 L ogistic回归分析模型统计不同变量和就诊时间的关系。结果 发病 6 h以内就诊的患者占 5 2 .3% ,脑出血患者就诊要早于脑梗死患者 ,就诊延迟主要与不重视、对卒中知识不了解以及症状轻重、就诊方式有关。

Objective This study aimed to identify sources and reasons for delays in the care of stroke patients. Methods Data on time interval from symptom onset or awareness to initial presentation,to neurology assessment or performance of cranial CT scan,and demographic and medical factors associated with delays among stroke patients admitted at the first hospital of Jilin University from Sep. 2002 to Apr. 2004 were obtained. Results Of 1000 patients,52.3% presented within 6h. Patients with intracranial hemorrhage presented earlier than those with infarction. Reasons for delayed consultation included failure to recognize symptoms and severity of stroke. Conclusion Professional and public education are necessary of early care of acute stroke.