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目的 了解深圳郊区脑卒中患者的就医时间及其影响因素 ,为开展超早期治疗积累资料。方法 前瞻性地调查脑卒中患者从发病到开始专科治疗的时间 ,以是否在 6小时内就医作为应变量 ,选取可能影响就医时间的 13个因素作为自变量 ,进行Logistic回归分析。结果 2 37例患者平均就医时间为 2 0 33小时 ,6小时内就医者 89例 (38% ) ,其中脑梗死患者平均就医时间为 2 5 0 3小时 ,6小时内就医者 44例 (30 % )。Logistic回归分析选入职业、发病时有无意识障碍进入方程。结论 影响就医时间的因素为农民职业和发病时无意识障碍。提示开展超早期治疗首先应加强有关脑卒中知识的健康教育 ,特别是提高对脑卒中发病时症状体征的识别及超早期治疗重要性的认识
Objective To understand the time and influencing factors of stroke in Shenzhen suburbs and to accumulate data for ultra-early treatment. Methods A prospective study of stroke patients from the onset to the beginning of specialist treatment time, whether or not to seek medical treatment within 6 hours as a dependent variable, select 13 factors that may affect the time of seeking medical treatment as an independent variable and conduct Logistic regression analysis. Results The average time for medical treatment was 2 0 33 hours in 2 37 cases and 89 cases (38%) in 6 hours. Among them, the average time for medical treatment for cerebral infarction was 205 hours, 44 cases (30% ). Logistic regression analysis into the occupation, the incidence of unconsciousness into the equation. Conclusion The factors influencing the time of medical treatment are peasant occupation and unconsciousness during onset. Prompted ultra-early treatment should first strengthen the health education on stroke knowledge, especially to improve the recognition of symptoms and signs of stroke onset and the importance of early treatment