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目的探讨新疆部分地区急性脑卒中患者就诊时间延迟的相关因素及就诊时间对预后的影响。方法将新疆5所医院神经内科住院的861例急性脑卒中患者分为早期就诊组(349例)及延迟就诊组(512例),给予相同的脑卒中治疗,比较2组患者一般临床特征、卒中类型及治疗前、治疗后的神经功能缺损评分(NIHSS)的变化。结果不同民族患者的早期就诊率差别有统计学意义(P<0.05),喀什地区第二人民医院患者早期就诊率最高(64.4%),新疆医科大学第一附属医院最低(25.6%)。延迟就诊组治疗后病情加重(17.0%)较早期就诊组(10.9%)高。结论汉族患者在发病后相对于其他民族就诊晚;患者离医院越近越会早来就诊;发病后经过常规内科治疗,患者均会好转,但是越晚就诊的患者其病情加重机率越高。
Objective To investigate the related factors of the delayed treatment time of acute stroke patients in some parts of Xinjiang and the influence of the time of visiting on the prognosis. Methods 861 acute stroke patients hospitalized in 5 departments of neurology in Xinjiang were divided into two groups: early treatment group (349 cases) and delayed treatment group (512 cases), and were given the same stroke treatment. The general clinical features, stroke Type and treatment before and after treatment of neurological deficit score (NIHSS) changes. Results There was a statistically significant difference in the early visiting rate among different ethnic groups (P <0.05). The second visiting hospital in Kashi Prefecture had the highest rate of early visit (64.4%) and the first affiliated hospital of Xinjiang Medical University (25.6%). Delayed treatment group after treatment aggravated (17.0%) than the early treatment group (10.9%). Conclusions Patients in Han nationality are relative to other ethnic groups after the onset of illness. The patients get closer to the hospital sooner or later. After the onset of the disease, the patients receive better medical treatment. However, the later the patients are, the more likely they are to get sick.