急性ST段抬高型心肌梗死患者院前延误的相关因素

发布时间：2018-03-20 11:15

本文选题：急性心肌梗死　切入点：院前延误　出处：《医学与哲学(B)》2017年02期 　论文类型：期刊论文

【摘要】：本研究的目的是评估急性心肌梗死患者院前延误的原因,包括社会经济学和个人因素等。选取327例急性ST段抬高型心肌梗死(STEMI)患者,详细记录患者人口学资料,受教育水平,婚姻状况,何种方式就诊于医院及院前延误时间。35.7%的患者在症状发作的2小时内到达医院,7.9%患者在症状发作24小时后到达医院。经多因素回归分析,已婚,高学历,既往有心肌梗死病史,将自己的症状归结为心脏原因,具有的疼痛症状和非疼痛症状数量多,发病时不在家,发病时有陪同者,发病后呼叫EMS是院前延误时间短的相关因素(P0.05)。增加患者对心血管症状和危险因素的认识,教育患者一旦出现症状,立即呼叫急救系统可能缩短院前延误时间。
[Abstract]:The purpose of this study was to evaluate the causes of pre-hospital delay in patients with acute myocardial infarction, including socioeconomic and personal factors. 327 patients with acute ST-segment elevation myocardial infarction (STEMI) were selected to record the demographic data and educational level of the patients in detail. Marital status, how to see a doctor in hospital and the delay before hospital. 35.7% of the patients arrived in hospital within 2 hours after symptom attack. 7.9% of the patients arrived in hospital 24 hours after symptom attack. Multivariate regression analysis showed that they were married and had higher education. Having a history of myocardial infarction in the past, I attributed my symptoms to cardiac causes, with a large number of pain and non-pain symptoms, not at home at the time of onset, and accompanied at the time of onset. Calling EMS after onset is a relative factor of short delay time before hospital (P 0.05). To increase the understanding of cardiovascular symptoms and risk factors, to educate patients to call the first aid system immediately may shorten the time of delay before hospital.
【作者单位】：郑州大学附属洛阳中心医院心内科;
【分类号】：R542.22

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