CAJ | 학술논문

目的研究脑梗死患者从到达医院到开始正确治疗的时间(院内延迟),分析导致延迟的相关因素及对策.方法回顾性研究了进入医院就诊的急性脑梗死患者的院内延迟情况及其影响因素.结果院内延迟中位数时间为66 min,60 min内接受治疗者68例(60.71%).单因素分析显示院内延迟与下列变量之间关系密切:无常见病因,成人,首发症状为传统症状,由120救护车进行运送.性别及有、无医疗保险对院内延迟无显著影响.多因素回归模型显示仅常见病因的有无、年龄、首发症状以及运送方式与院内延迟有明显相关性.结论急性脑梗死患者院内延迟严重阻碍超早期溶栓治疗,需进一步提高医生脑梗死诊治水平;加强急救系统建设,尽可能使脑梗死患者使用急救车转运至医院.
목적 연구뇌경사환자종도체의원도개시정학치료적시간(원내연지),분석도치연지적상관인소급대책.방법 회고성연구료진입의원취진적급성뇌경사환자적원내연지정황급기영향인소.결과 원내연지중위수시간위66 min,60 min내접수치료자68례(60.71%).단인소분석현시원내연지여하렬변량지간관계밀절:무상견병인,성인,수발증상위전통증상,유120구호차진행운송.성별급유、무의료보험대원내연지무현저영향.다인소회귀모형현시부상견병인적유무、년령、수발증상이급운송방식여원내연지유명현상관성.결론 급성뇌경사환자원내연지엄중조애초조기용전치료,수진일보제고의생뇌경사진치수평;가강급구계통건설,진가능사뇌경사환자사용급구차전운지의원.
Objective To study the causes of hospital delays of thrombolysis in our hospital.Methods We prospectively studied the hospital delay of acute cerebral infarction(ACI)patients in our hospital and establish some countermeasures.Results The hospital delay time for all patients was 66(34～82)minutes.The present study shows that 68 patients(60.71%)accepted thrombolysis within 60 minutes after arrival. Univariate analysis showed that the reason of the hospital delays:no common cause of disease,adult,traditional symptoms of stroke and 120 ambulance transportation.Sex,medical insurance had no significant effect on early treatment.A multivariate regression model demonstrated that the most significant factors associated with early treatment were having or no common cause of disease,age,methods of transportation and type of symptoms of stroke.Conclusions Hospital delays of ACI patients have a significant influence on the effect of thrombdysis in superacute stage.To reduce the hospital delay time,doctors' professional ability should be improved.And also,it is necessary to improve emergency system, reduce transportation time.