缺血性脑卒中患者结局与就诊影响因素研究

Study on Outcome of Patients with Ischemic Stroke and Influencing Factors of Their Hospital Visit

目的探析缺血性脑卒中患者延迟就诊的影响因素及患者结局。方法选取我院273例缺血性脑卒中患者为研究对象,按照就诊时间分为就诊及时组和延迟就诊组。结果就诊及时组NIHSS评分、出院1年后的死亡率、复发率和再次入院率均低于延迟就诊组,卒中相关知识认知得分高于延迟就诊组。通过Logistic分析,患者年龄、居住地、文化程度和平均就诊时间是延迟就诊的影响因素(p<0.05)。结论延迟就诊以年龄、居住地、文化程度和平均就诊时间为独立危险因素。延迟就诊不仅会增加患者再次入院的可能性,还会增加患者出院后的死亡率、复发率,影响患者出院后恢复。

Objective To explore the influencing factors and outcomes of delayed medical visit of patients with ischemic stroke.Methods 273 ischemic stroke patients in our hospital were selected as the research objects,and they were divided into a timely visit group and a delayed visit group according to their time of visit.Results The NIHSS score,mortality rate,recurrence rate and readmission rate after 1 year of discharge in the timely visit group were lower than those in the delayed visit group,and the cognitive score of stroke-related knowledge was higher than that in the delayed visit group.Logistic analysis showed that the patient's age,place of residence,educational level and average visiting time were the influencing factors for treatment delay(p<0.05).Conclusions Age,place of residence,educational level and average visiting time were independent risk factors for delayed medical visit.Delayed medical visit not only increased the possibility of readmission,but also increased the mortality and readmission rate of patients after discharge,and affected the recurrence of patients after discharge.