影响急性大脑中动脉梗死患者就诊时间的相关因素分析

Analysis on the factors related to delaying doctor's office visiting in patients with acute middle cerebral artery infarction

目的:探讨影响急性大脑中动脉脑梗死患者入院就诊时间的相关因素。方法:收集2014年12月~2016年1月急性大脑中动脉脑梗死患者96例,按照就诊时间分为超早期组(≤6 h)和早期组(6~24 h),研究两组间相关因素的不同,分析影响早期就诊的因素特点。结果:96例患者中发病至就诊时间≤6 h组52例(54.17%),时间6~24 h组44例(45.83%)。单因素分析显示两组年龄、房颤病史、梗死类型、文化程度和交通方式存在显著差别(P<0.05);多因素Logistic回归分析表明,影响患者急诊就诊时间的独立因素有年龄、文化程度以及交通方式(P<0.01)。结论:高龄、文化程度高、通过救护车就诊入院的大脑中动脉梗死患者多在超早期(≤6 h)就诊。

Objective： To investigate factors related to delaying hospital admission in patients with acute middle cerebral artery infarction.Methods： Ninetysix cases of acute middle cerebral artery infarction were included from December 2014 to January 2016,and divided into rapid-early group（ ≤6 h） and early group（ 6 ~ 24 h） from the onset to doctor＇s office.The differences and factors affecting the early hospital admission were analyzed and compared between groups.Results： In 96 patients,54 sought treatment within 6 hours（ 54.17%）,and 44 within 6 to 24 hours from the onset（ 45. 83%）. Univariate analysis showed significant differences between the two groups in age,history of atrial fibrillation,infarction type,educational background and transportation（ P〈0.05）.Multivariate Logistic regression analysis indicated that independent factors affecting the patient delay in seeking emergency treatment were associated with age,educational level and transportation（ P〈0.01）.Conclusion： The factors leading to rapid-early decision in seeking treatment of middle cerebral artery infarction are associated with advanced age,higher educational level and admission by ambulance.