老年急性缺血性脑卒中患者延迟就诊相关影响因素及预后分析

发布时间：2018-03-24 07:12

本文选题：急性缺血性脑卒中　切入点：及时入院　出处：《中国老年学杂志》2017年14期

【摘要】：目的探索影响急性缺血性脑卒中(IS)患者延迟就诊的相关因素及其预后。方法采用自行设计的调查问卷,对老年IS患者进行调查,根据患者就诊时间分为及时入院组和延迟入院组,记录患者的一般人口学资料、既往疾病史、发病临床特征、社会及行为因素;在患者入院时和出院1年后随访时评测美国国立卫生研究院脑卒中量表(NIHSS)评分、Barthel指数评分并计算其差值,比较两组患者以上因素以及预后是否存在差异。结果共纳入急性IS患者312例,及时入院组占14.74%,延迟入院组占85.26%。结果显示,不同职业类型(P=0.046),既往有无高血压(P=0.022)和(或)心房纤颤疾病史(P=0.028),首发症状为语言障碍(P=0.032)、视觉障碍(P=0.038)、意识障碍(P=0.040)以及是否独居(P=0.041)影响就诊延迟。此外,在出院1年后随访时发现及时入院组IS患者的NIHSS评分显著低于延迟入院组(P=0.012)。结论就诊延迟的影响因素涉及各个方面,及时入院IS患者神经功能恢复情况优于延迟入院患者。
[Abstract]:Objective to explore the related factors affecting the delayed visit and prognosis of patients with acute ischemic stroke (ISI). Methods A self-designed questionnaire was used to investigate the elderly patients with is. The patients were divided into timely admission group and delayed admission group according to the time of treatment. The general demographic data, past disease history, clinical characteristics, social and behavioral factors were recorded. The National Institutes of Health Stroke scale (NIHSS) score and Barthel Index score were evaluated at admission and 1 year after discharge and the differences were calculated. Results 312 patients with acute is were included in the study, including 14.74patients in the timely admission group, 85.26patients in the delayed admission group, and 85.26patients in the delayed admission group. In different occupational types, the presence of hypertension (P0.022) and / or history of atrial fibrillation (P0.028), initial symptoms of language disorder (P0.032), visual impairment (P0.038), consciousness disorder (P0.040) and whether living alone (P0.041) affected the delay of treatment. It was found that the NIHSS score of the is patients in the timely admission group was significantly lower than that in the delayed admission group after 1 year of discharge. Conclusion the factors affecting the delayed admission are related to all aspects, and the recovery of neurological function in the patients with is in time is better than that in the patients with delayed admission.
【作者单位】：牡丹江医学院第二附属医院;
【分类号】：R743.3

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