摘要
目的研究急性脑卒中患者应用急救医疗服务(EMS)的影响因素。方法回顾性分析本院150例急性脑卒中患者的临床资料,根据是否接受EMS分为观察组(接受EMS)和对照组(未接受EMS),分析探讨急性脑卒中患者应用EMS的影响因素。结果150例患者中54例(36.00%)接受EMS,,另外96例(54.00%)未接受EMS。两组患者的年龄、文化程度及专业知识教育情况、心绞痛和卒中病史、呼吸急促及意识障碍发生率、发病时间比较,差异均具有统计学意义(P<0.05)。多因素Logistic回归分析显示,专业知识教育(95%CI=2.125~4.528,OR=3.102,P=0.000)、心绞痛(95%CI=1.974~2.650,OR=2.287,P=0.000)和卒中病史(95%CI=1.625~10.902,OR=4.209,P=0.003)、意识障碍(95%CI=1.223~2.297,OR=1.639,P=0.001)及发病时间(95%CI=1.805~2.559,OR=2.149,P=0.000)是患者接受EMS的独立危险因素。结论急性脑卒中患者应用EMS受患者专业知识教育状况、心绞痛和卒中病史、发病时间及意识障碍因素的影响,临床应结合相应因素给予适当干预措施。
Objective To study the influence factors of of emergency medical service (EMS) application in patients with acute stroke. Methods The clinical data of 150 patients with acute stroke in our hospital were retrospectively analyzed. According to whether EMS was received or not, the patients were divided into observation group (received EMS) and control group (not received EMS). The influencing factors of EMS application in patients with acute stroke were analyzed and explored. Results Among 150 patients, 54 cases (36.00%) received EMS, while 96 cases (54.00%) did not receive EMS. There were significant differences in age, educational level and professional knowledge education, history of angina pectoris and stroke, incidences of shortness of breath and consciousness disorder and onset time between the two groups (P<0.05). Multivariate Logistic regression analysis showed professional knowledge education (95%CI=2.125-4.528, OR=3.102, P=0.000), the history of angina pectoris (95%CI=1.974-2.650, OR=2.287, P=0.000) and stroke (95%CI=1.625-10.902, OR=4.209, P=0.003), consciousness disorder (95%CI=1.223-2.297, OR=1.639, P=0.001) and onset time (95%CI= 1.805 -2.559, OR =2.149, P=0.000) were independent risk factors for EMS. Conclusion The application of EMS in patients with acute stroke is influenced by the status of professional knowledge education, the history of angina pectoris and stroke, onset time and consciousness disorder. Appropriate interventions should be given according to relevant factors in clinic.
作者
徐涛
李小莉
XU Tao;LI Xiao-li(the Second People's Hospital of Baoji, Baoji 721000;the People's Hospital of Qianyang County, Baoji 721101, China)
出处
《临床医学研究与实践》
2019年第26期25-27,共3页
Clinical Research and Practice
