摘要
目的调查青岛地区不同级别医院急性脑血管病患者就诊延迟程度并分析其影响因素。方法选取2008年6月1009年2月就诊于青岛市、县、乡多家医院的急性脑血管病患者共700例，采用问卷调查的形式，对卒中患者就诊时间及其可能的影响因素进行调查和分析。结果青岛地区急性脑血管病患者在发病4．5h内的平均就诊率为30％，乡镇医院最低（26％），市级医院次之（28％），县级医院最高（36％）。对于市级医院，男性患者多就诊延迟，高中以上文化程度、城镇医保、120转运以及美国国立卫生研究院卒中量表（National Institutes of Heath Stroke scale，NIHSS）〈3分的患者多能及时就诊；对于县级医院，初中以上文化程度、120转运和NIHSS〈3分的患者多能及时就诊；对于乡镇医院，NIHSS〉7分和意识不清的患者多能及时就诊。结论青岛地区市、县、乡三级医院的急性脑血管病患者均有明显的就诊延迟，其中120转运和教育水平较高能减少患者就诊延误。因此，完善各级医院的卒中急救网络系统，提高全民教育水平，加强卒中知识宣教对卒中患者的及时就诊至关重要。
Objective To investigate the treatment delay in patients with acute cerebrovascular disease in different levels of hospital in Qingdao area and to analyze its influencing factors. Methods A total of 700 patients with acute cerebrovascular disease from the city, county and township hospitals in Qingdao were selected from June 2008 to February 2009. A questionnaire survey was used to investigate and analyze the visiting time in patients with stroke and its possible influencing factors. Results The average visiting rate in patients with acute cerebrovascular disease was 30% within 4.5 hours after the onset in Qingdao area. 3he average visiting rate of the township hospitals was lowest （26%）, of the city hospitals was moderate （28%）, and of the county hospitals was highest （36%）. For the city hospitals, the male patients usually delayed the visiting. 3he patients with high school or higher education level, urban medical insurance, 120 transportation, and the National Institutes of Health Stroke Scale （NIHSS） 〈 3 could usually be treated timely; For the county hospitals, the patients with secondary school or lower education level, 120 transportation, and NIHSS 〈 3 could usually be treated timely. For the township hospitals, the patients with NIHSS 〉 7 and unconsciousness could usually be treated timely. Conclusions The patients with acute cerebrovascular disease in the city, county and township hospitals in Qingdao area had significant treatment delay. Of those, 120 transportation and higher levels of education could decrease the treatment delay of patients. Therefore, perfecting stroke emergency network, raising people＇s level of education, and strengthening propaganda and education on stroke knowledge in all levels of hospitals are essential for timely treatment of stroke patients.
出处
《国际脑血管病杂志》
北大核心
2009年第10期747-751,共5页
International Journal of Cerebrovascular Diseases
