急性缺血性脑卒中患者卒中认知调查及延迟就诊相关因素分析

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Abstract Objective To investigate the cognition of risk factors and symptoms of stroke for patients with acute ischemic stroke on and potential factors affecting visit time.Methods From January 2014 to June 2015，a prospective survey using structured questionnaire for patients with acute ischemic stroke was conducted to investigate the cognition of stroke knowledge and the time of each stage of the medical treatment after the onset of the disease.The relations between visit time and sociology data of population，past medical history，state of onset，measures taken at onset of disease，the first-episode symptoms，the defect degree of neural function，cognition of stroke was analyzed respectively.The related factors affecting visit time were screened by multiple linear regression analysis method.Results 133 patients with acute ischemic stroke received by department of neurology in the First Hospital of Lanzhou University were enrolled，age of onset was (63.20±11.46) years old，86 cases (64.7%) were male.The risk factor of acute ischemic stroke with highest cognitive rate was hypertension (66.2%)，the symptom of acute ischemic stroke with highest cognitive rate was limb weakness (59.4%).24.1% of patients could recognize more than 4 risk factors of stroke and 15% of them could recognize more than 3 symptoms ofstroke.Proportion of could recognize more than 4 risk factors (P=0.021) and more than 3 symptoms (P=0.044) of stroke in rehospitalization group was obviously higher than that of first hospitalization group respectively.The onset-to-needle time (ONT) was (2327.27±2157.30) min，with a median was 1440.00 min.The average onset-to-door time (ODT) was 1352.89 (10.00-8730.00) min，with a median was 400.00 min.The average door-to-needle time (DNT) was 641.16 (8.00-5760.00) min，with a median was 360.00 min.The ONT (P=0.000) and ODT (P=0.000) in the emergency hospitalization group was significantly shorter than that in the clinic hospitalization group.Multiple linear regression analysis showed age bracket (P=0.082)，housing state (P=0.061)，first-episode dizziness symptom (P=0.017)，measures taken at onset of disease (P=0.053)，cognition of time window for thrombolytic therapy (P=0.090) was significantly associated with ONT respectively，and elder age，living alone，had no first-episode dizziness symptom，no emergency call after onset of disease and ignorance of time window of thrombolytic therapy indicated that extension of ONT.Conclusion Delayed treatment phenomenon is generally exist in patients with acute ischemic stroke received by department of neurology in our hospital，when exsits older age，living alone，had no first-episode dizziness symptom，no emergency call after onset of disease and ignorance of time window of thrombolytic therapy，and it indicates that extension of ONT.

Key words： Acute ischemic stroke Stroke cognition Delayed treatment Multiple linear regression analysis

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	CHEN Xiao-ming
	CHEN Jin-li
	YE Xiao-xiang
	LU Ya-qin
	LIU Ning

Cite this article:

CHEN Xiao-ming,CHEN Jin-li,YE Xiao-xiang, et al. Cognitive investigation and relative factors analysis on delayed treatment for patients with acute ischemic stroke[J]. 中国当代医药, 2016, 23(3): 4-10.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2016/V23/I3/4

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