摘要
目的了解急性脑梗死患者院外急救时间分布及其延误影响因素分析。方法回顾性分析2018年1月—2021年5月东莞市东部中心医院收治的136例急性脑梗死患者的临床资料。统计急性脑梗死患者院外急救时间,并依据患者是否4.5 h内到达医院就诊分为>4.5 h组和≤4.5 h组。对比>4.5 h组和≤4.5 h组两组患者的临床资料。Logistic多因素回归分析影响急性脑梗死患者就诊时间延误的危险因素。结果本研究中,急性脑梗死患者院外急救时间<1 h、1~4.5 h、4.6~6 h及>6 h占比分别为13.24%、30.15%、40.44%、16.18%。>4.5 h组文化程度为高中及以下占比、意识功能障碍占比、自行到院占比、独居占比、居住地为农村占比、首次发生急性脑梗死占比及夜晚发病占比均高于≤4.5 h组(P<0.05)。Logistic回归分析结果显示,意识功能障碍、居住地为农村及夜晚发病均为影响急性脑梗死患者就诊时间延误的危险因素(OR=2.910、3.337、3.418,P<0.05)。结论急性脑梗死患者院外急救时间延误现象较严重,意识功能障碍、居住地为农村及夜晚发病均为影响急性脑梗死患者就诊时间延误的危险因素临床中需逐一控制各项危险因素对急救时间的影响,进一步缩短患者的就诊时间。
Objective To understand the distribution of pre-hospital emergency care time in patients with acute cerebral infarction and the analysis of its delay factors.Methods The clinical data of 136 patients with acute cerebral infarction admitted to Dongguan Eastern Central Hospital from January 2018 to May 2021 were retrospectively analyzed.The pre-hospital emergency time of patients with acute cerebral infarction was counted,and the patients were divided into more than 4.5 h group and less than 4.5 h group according to whether they arrived at the hospital within 4.5 hours.The clinical data of the two groups of patients in the>4.5 h group and≤4.5 h group were compared.Logistic multivariate regression analysis of the risk factors that affect the delay in the treatment time of patients with acute cerebral infarction.Results In this study,the pre-hospital emergency time of patients with acute cerebral infarction was 13.24%,30.15%,40.44%,and 16.18%,respectively.>4.5 h group education level is the proportion of high school and below,the proportion of consciousness dysfunction,the proportion of self-going to the hospital,the proportion of living alone,the proportion of living in rural areas,the proportion of the first acute cerebral infarction and Proportion of morbidity at night were all higher than those in the≤4.5 h group(P<0.05).Logistic regression analysis showed that consciousness dysfunction,live in the countryside and morbidity at night were all risk factors affecting the delay in treatment time of patients with acute cerebral infarction(OR=2.910,3.337,3.418,P<0.05).Conclusion Patients with acute cerebral infarction have serious delays in pre-hospital emergency care.Consciousness dysfunction,live in the countryside and morbidity at night are all risk factors that affect the delay in patients with acute cerebral infarction.In the clinic,it is necessary to control each risk factor one by one for first aid.The influence of time further shortens the patient's visit time.
作者
钟光耀
张文
黎美琪
叶广志
朱永
林展斌
ZHONG Guangyao;ZHANG Wen;LI Meiqi;YE Guangzhi;ZHU Yong;LIN Zhanbin(Emergency Department of Dongguan Eastern Central Hospital,Dongguan Guangdong 523560,China)
出处
《中国急救复苏与灾害医学杂志》
2022年第3期328-330,338,共4页
China Journal of Emergency Resuscitation and Disaster Medicine
基金
广东省医学科学技术研究基金项目(编号:A2018322)
东莞市社会发展科技项目(编号:2021800902402)。
关键词
急性脑梗死
院外急救时间分布
延误
影响因素
Acute cerebral infarction
Distribution of pre-hospital emergency time
Delay
Influencing factors
