急性脑卒中患者就医时机的调查研究

A survey of visiting a doctor time for patients with acute stroke

目的通过对急性脑卒中患者的发病与就医时间的调查,指导此类病人及时就诊。方法对急性脑卒中患者的发病时间及就医时间进行调查统计,并按发病至就诊时间的长短判别就诊的及时性。结果944例急性脑卒中患者中,仅有9.32%的患者在发病<1h就医,1～6h为27.23%,6～12h为33.16%,而>12h高达30.30%。较及时就医者为36.55%,不及时就医者为63.45%,两者比较差异有高度显著性(x^2=136.69,P<0.01)。结论大部分急性脑卒中患者未能早期及时就医,延误了最佳的抢救治疗时机。

Objective To examine the length of time between the occurrence of acute stroke and patients visiting a doctor and to assess whether the patients went to see the docor is ＂in time＂ or not. Methods The occurrence time of acute stroke and the time for patients visiting a doctor were retrospectively investigated. Patients who went to see a doctor in less than 1 hour （ 〈 1 h） after the attack of acute stroke were judged as ＂in time＂, otherwise were judged as ＂not in time＂. Results In 944 patients with acute stroke involved in this study, only 9.23% patients visited a doctor in less than lh, 27.23% within 1～6h, 33. visiting a doctor was 36.55% for fairly ＂in time＂ versus 63. 16 % within 6～ 12h, and 30.30 % over 12h. The rate of 45 % for ＂not in time＂, there was statistically significant difference （x^2 = 136.69, P 〈0.01）. Conclusion Most patients with acute stroke can not see a doctor in time and miss the best treatment opportunities.