粤北农村急性心肌梗死患者就诊延迟的原因分析

发布时间：2018-04-01 09:24

本文选题：急性心肌梗死　切入点：农村　出处：《实用医学杂志》2016年21期

【摘要】：目的:了解粤北农村急性心肌梗死(AMI)患者就诊延迟的现状并分析主要影响因素。方法:对韶关市916例农村AMI患者进行调查,应用卡方检验和多元回归分析就诊延迟的影响因素。结果:根据就诊时间将患者分为就诊及时组和就诊延迟组,就诊及时组259例(28.3%),就诊延迟组657例(71.7%)。分析显示:患者的年龄、教育程度、收入水平、发病时间、胸痛程度、就医决策、转运方式、是否了解AMI组间比较差异有统计学意义(P0.05),其中年龄、收入水平、发病时间、胸痛程度、是否了解AMI为农村患者就诊延迟的独立影响因素。结论:粤北农村AMI患者就诊延迟现象普遍存在,影响了粤北农村AMI患者的治疗及预后。应尽量减少就诊延迟现象,从而达到提高农村AMI抢救成功率、降低农村AMI患者死亡率及改善预后的目的。
[Abstract]:Objective: to understand the rural status of acute myocardial infarction (AMI) patients delayed and analyze the main influencing factors. Methods: To investigate 916 cases of AMI patients in rural areas of Shaoguan City, using the chi square test and multiple regression analysis of influencing factors of delay. Results: according to the treatment time of patients were divided into treatment group and time delay group, timely treatment group of 259 cases (28.3%), treatment delay group 657 cases (71.7%). The analysis showed that the patient's age, education level, income level, time of onset, chest pain, medical decision making, transport mode, to know whether the AMI was statistically significant difference between the two groups (P0.05), including age, income level and the time of onset, chest pain, to know whether the independent risk factors of AMI for rural patients delayed. Conclusion: the phenomenon of the rural AMI patients delayed, the effect of treatment and prognosis in AMI patients. In rural areas should be In order to improve the success rate of AMI rescue in rural areas, reduce the mortality of rural AMI patients and improve the prognosis.

【作者单位】：广东省始兴县人民医院;
【基金】：韶关市科技局资助项目(编号:2016cx027)
【分类号】：R542.22

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