影响缺血性脑梗急性发作至就诊时间间隔的相关因素

Analysis of factors related to the time interval between the onset of acute ischemic cerebral infarction and treatment

目的探讨影响缺血性脑梗急性发作至就诊时间间隔的相关因素。方法选取2016年1月至2017年2月我院急诊科收治的缺血性脑梗急性发作的107例患者为研究对象,根据发作至就诊时间间隔的长短,将患者分为时间间隔短组(≤3 h)和时间间隔长组(>3 h);对比分析两组患者的性别、年龄、婚姻状况、医保类型、居住方式、对缺血性脑梗相关知识的认识、发病地点、送至急诊科途径;采用多因素Logistic回归分析,对患者的发作至就诊时间间隔的相关因素进行分析。结果 107例患者中有15(14.0%)例患者属于及时送至医院就诊。时间间隔短组患者与时间间隔长组患者的同配偶子女居住、独居,对缺血性脑梗症状、脑梗溶栓疗法及溶栓时间窗了解程度,急诊120的就诊方式比较差异有统计学意义(P<0.05)。多因素Logistic回归分析结果表明,独居、了解溶栓时间窗和急诊120就诊是缺血性脑梗急性发作至就诊时间间隔的独立影响因素。结论缺血性脑梗急性发作至就诊时间间隔的独立影响因素包括单独生活、对溶栓时间窗的了解程度以及是否选择急诊120就诊。

Objective To explore the influencing factors affecting the time interval between the onset of acute ischemic cerebral infarction and treatment. Methods From January 2006 to February 2017, 107 patients with acute ischemic cerebral infarction were enrolled in this study. According to the time interval between onset and treatment, the patients were divided into short time interval group （≤3 h） and long time interval group （ 〉3 h）. The gender, age, marital status, type of medical insurance, the way of living, the knowledge of ischemic cerebral infarction, disease location, and the way of sending to emergency department were compared between two groups. Multivariate logistic regression analysis was used to analyze the factors related to the time interval between onset and treatment. Results Among 107 patients, 15 （14.0%） patients were hospitalized in time. There was significant differences in the living with spouse, living alone, the degree of understanding of ischemic cerebral infarction, cerebral thrombolysis and thrombolysis time window, the way of emergency 120 treatment between the two groups （P〈0.05）. Multivariate logistic regression analysis showed that living alone, understanding the time window of thrombolysis and 120 emergency were independent risk factors of the time interval between the onset of acute ischemic cerebral infarction and treatment. Conclusion Independent factors affecting the time interval between the onset of ischemic cerebral infarction and treatment include： living alone, the degree of understanding of thrombolytic time window, and receiving emergency 120 treatment.