唐山市五县区社区拟似卒中患者院前转运时间分析

摘要

Objective To explore the feature of time for prehospital stroke patients to ask for help and be transported to hospitals in the country areas of our city.Methods Patients who suspected being attacked by a stroke from our hospital and other institution in which offer the emergency service were collected in prospectively.The time peak of calling for help and time for transport of prehospital were analyzed.Results Eventually,1000 suspected stroke patients were collected.Of all the patients,34.9％ reached the hospital in half an hour,and 84.6％ in an hour,and 97.8％ in 2 hours.The time peak of the period to ask for help was in the morning(7:00 ～ 10:00),noon (11:00 ～ 13:00) and toward evening (17:00 ～ 19:00).On the contrary,the time period of 1:00 to 4:00 am to ask for help is the trough.Conclusion According to the feature of time period to ask for help,perhaps it may be help to improve the efficiency of stroke treatment if we enhance the popular's stroke education,and strengthen the training of all the prehospital medical personnel.%目的 了解我市各基层社区拟似卒中患者求救及院前转运时间特点.方法 前瞻性登记我院及周边县区120急救中心及下设急救站出诊的拟似卒中患者,分析出诊时间高峰,及院前转运时间特点等.结果 共收集拟似卒中患者1 000例,其中30 min内到达医院占349例(34.9％),1h内到达医院占846例(84.6％),2h内到达占978例(97.8％)；呼救时间分布以晨起及上午(7:00 ～ 10:00)、中午(11:00～13:00)及傍晚(17:00～ 19:00)为相对高峰期,凌晨(1:00 ～4:00)求救人次最少.结论 根据卒中患者求救时间的分布特点,加强对公众的卒中知识的普及,以及对第一时间接触卒中患者的120医护人员进行培训,可进一步减少卒中院前延误时间,提高卒中救治效率.