院外急救及就诊时间对急性缺血性卒中患者的影响

Effect of out-of-hospital emergency care and visit time to patients with acute ischemic stroke

目的：探讨院外急救及就诊时间对急性缺血性卒中患者预后的影响。方法：选取我院由急诊收治且已确诊的急性缺血性卒中患者300例,观察组为＂120＂接诊院外急救患者180例,对照组为未行院外急救自行就诊患者120例,对2组就诊时间、预后进行统计学分析。结果：观察组救治有效率明显高于对照组（P〈0.05）。2组患者在发病后6h内、6~24h就诊的救治有效率比较,差异均有统计学意义（P〈0.05）,但2组24h后就诊患者的救治有效率比较,差异无统计学意义（P〉0.05）。各组内不同就诊时间的救治有效率比较,差异均有统计学意义（P〈0.05）。结论：早期就诊或尽早启动医疗急救系统（EMS）使院外急诊急救早期介入,对改善急性缺血性卒中患者的预后有重要意义,要加强院外急救的宣传非常必要。

Objective：To explore the influence of out-of-hospital emergency care and visit time to prognosis of acute ischemic stroke patients.Method：Three hundred cases of acute ischemic stroke patients who were admitted and diagnosed by the emergency department were received,180 cases in the observation group,120 cases in the control group.Out-of-hospital emergency patients transfered by 120 were considered the observation group.The patients who came to hospital to see a doctor were considered the control group.The visit time and prognosis of two groups were statistically analyzed.Result：The treatment efficiency of the observation group was higher than that of the control group（P〈0.05）.The treatment efficiency of two groups when getting treatment within 6hours or 6-24hours has significant difference（P〈0.05）,but the treatment efficiency of two groups when getting treatment after 24 hours has not statistically significant difference（P〉0.05）.The treatment efficiency of different visit time are statistically significant different in each group（P0〈.05）.Conclusion：Early seeking treatment,activating EMS as soon as possible and early out-of-hospital emergency intervention were important to improve the prognosis of patients with acute ischemic stroke.The propaganda of out-of-hospital emergency care should be strengthened.