目的 探讨我院急性脑血管病患者的院前时间及其影响因素.方法 采用自行设计的问卷,对2009-03-30-2010-03-30门头沟区医院急性脑卒中患者进行调查.除一般资料外,按是否在脑卒中症状发生后6 h内到达医院将患者分为两组,对影响脑卒中院前时间的因素进行分析.结果 脑卒中患者到医院就诊时使用的交通工具、首诊地点、居住地点、对脑卒中的认识及脑卒中的类型均与患者发病后距治疗时间有关(P＜0.05).在家中发病或者在其他地方发病的脑卒中与发病后距治疗时间无关(P＞0.05).结论 有42.3%脑卒中患者不能在发病后6 h内到达医院,其院前时间延误的主要原因是对脑卒中知识了解不够、使用急救电话/急救车少.加强公众对脑卒中知识的了解是提高患者6 h内到达医院的重要因素.%Objective To investigate the duration of pre - hospital delay and its influencing factors among patients with acute cerebral vascular disease. Methods Self - designed questionnaire was applied to investigate acute stroke patients in Mento-ugou hospital from March 30th, 2009 to March 30th, 2010. In addition to general information, we divided the patients into two groups according to whether the stroke patients arrived at the hospital within 6 hours after the emergence of stroke symptoms and analyzed the influence factors of pre - hospital delay. Results The time that patients spend from stroke to treatment was associated with types of transportation, first - aid spots, residential spots, patients' knowledge about stroke and stroke types ( P <0. 05 ). Length of prehospital delay was not associated with whether the onset of the disease was at home or outside ( P >0. 05 ). Conclusion After the onset of stroke, 42. 3% patients can not reach the hospital within 6 hours. Prehospital time delay is mainly due to insufficient knowledge about stroke, insufficient use of the emergency telephone/ambulance. It is important to enhance public knowledge about stroke with the hope to improve the rate of first - aid within 6 hours.
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