某院40岁以下缺血性卒中患者就诊及时性的影响因素分析

Factors Influencing the Timeliness of Treatment for Ischemic Stroke Patients under 40 Years Old in a Hospital

目的:探讨影响青年缺血性脑卒中患者就诊及时性的因素,为青年缺血性卒中患者的防治提供依据。方法:收集十堰市太和医院神经内科2019年1月至2021年3月收治的79例40岁以下的青年缺血性脑卒中患者,主要比较的因素包括性别、居住地、文化程度、是否有高血压、首发症状、季节、家族史等,以就诊时间是否大于6 h为界进行比较,分析其对就诊及时性的影响。结果:在79例青年缺血性脑卒中患者中,男性63例,平均年龄(35.14±4.49)岁;女性16例,平均年龄(36.00±3.58)岁。分析结果发现:女性就诊及时性高于男性;城镇就诊及时性早于乡村;脑力劳动者就诊及时性高于体力劳动者;高中学历患者就诊及时性较其他学历患者就诊及时性高;春冬就诊及时性高于夏秋;首发以失语、头晕、无力症状者更具有及时就诊的警惕性;有家族史者对于卒中具有更高的警惕性,有利于及时就医;有高血压患者反而降低了卒中警惕性,就诊及时性降低;NIHSS评分高者更能够引起患者重视有助于及时就诊。结论:性别、居住地、文化程度、季节、高血压、首发症状、NIHSS评分是影响某院青年缺血性脑卒中患者就诊及时性的关键因素。由此我们建议加强缺血性脑卒中的宣教,提高就诊及时性。

Objective To explore the factors affecting the timeliness of treatment in young patients with ischemic stroke,and to provide the basis for the prevention and treatment of the patients.Methods 79 young patients with ischemic stroke under the age of 40 treated in the Department of Neurology of Taihe Hospital of Shiyan City from January 2019 to March 2021 were collected.The main comparison factors included gender,residence,education level,whether there was hypertension,first symptoms,season,family history,etc.The comparison was made based on whether the consultation time was more than 6 hours to analyze its impact on the timeliness of consultation.Results Among 79 young patients with ischemic stroke,there were 63 males with an average age of 35.14±4.49 years old and 16 females with an average age of 36.00±3.58 years old.The results showed that the timeliness of medical treatment in women was higher than that in men;the timeliness of medical treatment in urban areas was earlier than that in rural areas;the timeliness of medical treatment of mental workers was higher than that of manual workers;the timeliness of medical treatment of patients with high school education was higher than that of patients with other education;the timeliness of treatment in spring and winter was higher than that in summer and autumn;those with aphasia,dizziness,and weakness are more vigilant to seek medical treatment in a timely manner;those with family history are more vigilant about stroke,which is beneficial to seek medical treatment in time;patients with high blood pressure are less vigilant for stroke and patients with higher NIHHSS scores can attract patients'attention and help to seek medical treatment in a timely manner.Conclusion Gender,place of residence,education level,season,hypertension,first symptom and NIHSS score are the key factors affecting the timeliness of treatment in young patients with ischemic stroke in a hospital.Therefore,we suggest to strengthen the propaganda and education of ischemic stroke and improve the timeliness of treatment.