中国全科医学2016，Vol.19Issue(13)：1548-1551,4.DOI:10.3969/j.issn.1007-9572.2016.13.016
急性缺血性脑卒中患者发病至急诊科时间间隔的影响因素研究
Influencing Factors for the Time Interval Between Onset to Arrival at Emergency Department for Patients With Acute Cerebral Arterial Thrombosis
摘要
Abstract
Objective To investigate the influencing factors for the time interval between onset to arrival at emergency department for patients with acute cerebral arterial thrombosis. Methods The study enrolled 1 081 subjects with acute cerebral arterial thrombosis who were admitted into Department of Emergency,Shaoxing People's Hospital from January 2010 to October 2013. According to the time interval between onset to arrival at emergency department,these patients were divided into two groups:early arrival group(≤3 h)and late arrival group( > 3 h). Comparison was made between the two groups in age, gender,complications,onset place,NIHSS score at arrival,approach to emergency department. Multivariate Logistic regression analysis was made on the time interval between onset and arrival. Results There were 88 (8. 1% )patients who received thrombolytic therapy and all had early arrival at emergency department. The two groups were significantly different in the incidence rates of diabetes,atrial fibrillation and congestive heart failure,approach to emergency department,NIHSS score at arrival,the incidence of atony in the arms,legs and face,the incidence of numbness in the arms,legs and face,and the incidence rates of dizziness,abnormal vision and change of psychological state(P < 0. 05). Multivariate Logistic regression analysis showed that diabetes,atrial fibrillation,approach to emergency department,NIHSS score at arrival and change of psychological state were independent influencing factors for the time interval between onset to arrival at emergency department(P < 0. 05). Conclusion Emergency treatment following 120 calls can help patients with acute cerebral arterial thrombosis arrive at emergency department earlier,effectively promote thrombolytic therapy,and reduce the time interval from onset to treatment,which is worth clinical reference.关键词
急救医疗服务/卒中/溶栓治疗Key words
Emergency medical services/Stroke/Thrombolytic therapy分类
医药卫生引用本文复制引用
丁国娟,金春华..急性缺血性脑卒中患者发病至急诊科时间间隔的影响因素研究[J].中国全科医学,2016,19(13):1548-1551,4.基金项目
浙江省适宜技术转化项目（2011ZHA011）---基层医院急性缺血性脑卒中的急诊规范化治疗 （）
