摘要
目的:探讨急性缺血性脑卒中院前急救的风险因素,提出相应对策。方法:收治急性缺血性脑卒中患者631例,回顾性分析其临床资料。结果:在631例患者中,484例成功转运回医院治疗,死亡147例。急性缺血性脑卒中患者急救的主要风险因素为患者的就诊时间,其影响因素主要有转运方式、发病位置、教育程度、病情的严重程度及患者及其家属对脑卒中的认识程度(P<0.05),首发症状较明显的患者就诊时间更短。结论:医院应当逐步完善院前急救体系,优化院前急救流程,对急性缺血性脑卒中患者的抢救具有重要意义。
Objective:To explore the risk factors of pre-hospital first aid for patients with acute ischemic stroke,to put forward thecorresponding countermeasures.Methods:631 patients with acute ischemic stroke were selected,and the clinical data wereretrospectively analyzed.Results:In the 631 patients,484 were successfully transported to the hospital,and 147 patients died.Themain risk factor of pre-hospital first aid for patients with acute ischemic stroke was the patient's treatment time,and its mainfactors were transfer mode,location of disease,degree of education,severity of illness and their family members' awareness ofstroke(P<0.05).The visit time of patients with severe initial symptoms was shorter.Conclusion:Hospital should improve thepre-hospital emergency system gradually,optimize the pre-hospital emergency treatment process.It had an important significancefor the treatment of patients with acute ischemic stroke.
作者
王锡燕
Wang Xiyan(Supo Community Health Service Center of Qingyang District,Chengdu City 610091)
出处
《中国社区医师》
2016年第13期91-92,94,共3页
Chinese Community Doctors
关键词
急性缺血性脑卒中
院前急救
延误
Acute ischemic stroke
Pre-hospital first aid
Delay
