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| “中风120”科普宣教对减少急性缺血性脑卒中患者院前延误的影响 |
| The impact of Stroke"120"science education on reducing pre-hospital delays in patients with acute ischemic stroke |
| 投稿时间：2023-10-29 修订日期：2023-10-29 |
| DOI： |
| 中文关键词: 急性缺血性脑卒中 “中风120” 院前延误 再灌注治疗 |
| 英文关键词: acute ischemic stroke stroke"120" pre-hospital delay reperfusion therapy |
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| 中文摘要: |
| 目的：探究“中风120”科普宣教对减少急性缺血性脑卒中(acute ischemic stroke, AIS)患者院前延误的影响,并为今后AIS的科普和管理决策提供依据。方法：连续登记2022年9月至2023年2月因AIS入院的患者,采用问卷及随访的方式收集患者的相关数据,根据患者是否接受“中风120”科普宣教分为科普宣教组和非科普宣教组,比较两组就医决策时间、到院时间、院前延误时间、院前识别率、时间窗内到达医院比例、时间窗内行再灌注治疗比例、发病第90天mRS评分0-2分比例的差异。结果：科普宣教组就医决策时间、到院时间、院前延误时间均短于非科普宣教组,差异具有统计学意义(P<0.05),科普宣教组院前识别率、时间窗内到达医院比例、时间窗内行再灌注治疗比例、发病第90天mRS评分0-2分比例均高于非科普宣教组,差异具有统计学意义(P<0.05)。结论：接受“中风120”科普宣教的AIS患者院前识别率和及时就医比例更高,“中风120”科普宣教有利于提高患者对卒中的认知,从而减少院前延误,提高时间窗内进行再灌注治疗比例,改善患者预后。 |
| 英文摘要: |
| Objective:To investigate the impact of stroke "120" education on reducing pre-hospital delays in patients with acute ischemic stroke (AIS), and to provide a basis for future decisions on AIS education and management.Methods:Prospective consecutive registration of patients admitted for AIS from September 2022 to February 2023, using questionnaires and follow-up surveys to investigate the patients" relevant data. The patients were divided into two groups according to whether they had received stroke "120" public education or not, The two groups were counted and compared in medical decision-making time, pre-hospital time, pre-hospital delay time, pre-hospital recognition rate, proportion of time window to hospital, proportion of reperfusion therapy within the time window, proportion of mRS score 0-2 at 90 days of the onset of the disease.Results: The pre-hospital delay of AIS patients was more serious, and the medical decision-making time, pre-hospital time, pre-hospital delay time of the public education group were lower than those of the non-public education group ,The difference is statistically significant(P<0.05), and the pre-hospital recognition rate, proportion of time window to hospital, proportion of reperfusion therapy within the time window, proportion of mRS score 0-2 at 90 days of the onset of the disease of the public education group were lower than those of the non-public education group.The difference is statistically significant(P<0.05).Conclusion: AIS patients who receive Stroke "120" public education have a higher rate of pre-hospital recognition and timely medical treatment. Stroke public education is beneficial for improving patients" understanding of stroke, reducing pre-hospital delays, increasing the proportion of reperfusion treatment within the time window, and improving patient prognosis. |
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