摘要
目的研究新型冠状病毒肺炎疫情(以下简称“新冠疫情”)对重庆医科大学附属永川医院(以下简称“我院”)卒中中心的影响,为卒中中心应对新冠疫情提供参考。方法分别选择2020年1月24日~3月10日(重庆市启动重大突发公共卫生事件一级响应时期)和2019年2月4日~3月23日(2019年农历同期)我院卒中中心就诊的161例和259例卒中患者作为疫情组和非疫情组,比较两组临床资料。结果疫情组就诊时间、缺血性卒中患者比率小于非疫情组,急诊就诊率、呼叫急救车就诊率、住院率、住院天数、病危率、特级或一级护理率大于非疫情组,差异有统计学意义(P<0.05);两组性别、年龄比较,差异无统计学意义(P>0.05)。两组在急诊就诊患者中,就诊时间比较,差异无统计学意义(P>0.05)。两组在缺血性卒中患者中,疫情组入院至穿刺时间(DTP)短于非疫情组,差异有统计学意义(P<0.05),两组入院美国国立卫生研究院卒中量表评分(NIHSS评分)、溶栓率、入院至静脉溶栓时间(DNT)、血管内治疗率比较,差异无统计学意义(P>0.05)。两组在出血性卒中患者中,疫情组急诊手术率大于非疫情组,入院至急诊手术时间短于非疫情组,差异有统计学意义(P<0.05)。结论新冠疫情期间,卒中中心患者相较平时,出现以下特征:就诊人数减少、就诊时间缩短、病情程度加重、住院率上升、住院天数增加、缺血性卒中比率减少,缺血性卒中DTP缩短,出血性卒中急诊手术率增加、入院至急诊手术时间缩短。
Objective To study the effect of COVID-19 pandemic on the stroke center of Yongchuan Hospital Affiliated to Chongqing Medical University(“our hospital”for short),so as to provide reference for the stroke center to cope with COVID-19 pandemic.Methods 161 stroke patients in our hospital from January 24 to March 10,2020(the first level response period for major public health emergencies in Chongqing)were selected as the pandemic group.259 stroke patients in our hospital from February 4 to March 23,2019(the same period in the lunar calendar with 2020)were selected as non pandemic group,and the clinical data of the two groups were compared.Results The time of visiting hospital and the ratio of ischemic stroke patients in pandemic group were lower than those in non pandemic group,and the emergency visiting rate,calling ambulance rate,hospitalization rate,hospitalization days,critical ill rate,special or primary nursing rate were higher than those in non pandemic group(P<0.05);there was no statistical significance between the two groups in gender and age(P>0.05).Between the emergency visiting patients of the two groups,There was no significant difference in the time of visiting hospital(P>0.05).Between the ischemic stroke patients of the two groups,time from door-to-puncture in thrombectomy(DTP)in pandemic group was lower than that in non pandemic group(P<0.05),There was no significant difference in the National Institute of Health Stroke Scale(NIHSS score),thrombolysis rate,time from door-to-needle in thrombolysis(DNT),and Endovascular therapy rate(P>0.05).Between the Hemorrhagic stroke patients of the two groups,The emergency operation rate in pandemic group was higher than that in the non pandemic group,and the time from admission to emergency operation in pandemic was shorter than that in the non pandemic group.Conclusion During the period of COVID-19 pandemic,the patients in the stroke center showed the following characteristics compared with normal:the number of visiting hospital was reduced,the time of visiting hospital was shortened,the degree of illness was aggravated,the hospitalization rate was increased,the hospitalization days were increased,the ischemic stroke ratio was reduced,the DTP of ischemic stroke was shortened,the emergency operation rate of hemorrhagic stroke was increased,and the time from admission to emergency operation of hemorrhagic stroke was shortened.
作者
谭庆
刘庆军
范文辉
杜小燕
吴林
龚洪敏
魏静
赵瑞
雷鸣
赵立波
TAN Qing;LIU Qingjun;FAN Wenhui(Neurology Department of Yongchuan Hospital of Chongqing Medical University,Yongchuan 402160,China)
出处
《中风与神经疾病杂志》
CAS
2021年第5期432-436,共5页
Journal of Apoplexy and Nervous Diseases
基金
重庆市科委基础与前沿项目(cstc2018jcyjAX0341)
重庆市技术创新与应用发展专项重点项目(cstc2019jscx-gksbX0064)
重庆市科卫联合医学科研项目(2018ZDXM023)。
