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目的:通过急性脑卒中事件登记数据库研究,掌握目前我国急性脑卒中患者院前转运与院中处理的现况,针对可干预问题,提出改进措施。方法:选取2008-02-2008-08在我院神经内科住院的发病时间在14d内的所有脑卒中患者,采用专家制订的标准卒中登记表,分别对其入院前、住院期间等信息进行登记。结果:急性脑卒中以缺血性卒中为主,占86.03%,男女比为3.24∶1,老年人易发,以清醒时发病为主,发病6h内来院就诊为80例(占29.93%),求救急救车仅24例(占10.48%),缺血性卒中发现时间高于出血性卒中,差异有统计学意义(P<0.05),首发症状仍以肌力下降常见(占48.91%),且急诊或门诊干预欠佳。住院期间时对各项脑血管病危险因素的筛查完成情况较低,治疗仍然以中药及神经保护治疗为主,患者出院时症状改善率为82.10%,但出院指导率偏低,如降压指导仅为53.21%,抗栓指导也只有72.80%。结论:急性脑卒中救治存在延迟现象,应同时加强公众急救意识教育和临床医生规范治疗的培训。
OBJECTIVE: To study the status quo of prehospital transit and hospital-based treatment of acute stroke patients in our country through the database of acute stroke incident registration database. In view of the problems that can be intervened, the improvement measures are proposed. Methods: All stroke patients who were admitted to Department of Neurology in our hospital during the 14th day of 2008-02-2008-08 were enrolled in this study. Standard stroke register was used to register their information before admission and during hospitalization. Results: The main stroke was ischemic stroke, accounting for 86.03%. The ratio of male to female was 3.24:1. The elderly were predisposed to the onset of soberness, 80 cases (29.93%) were admitted to the hospital within 6 hours of onset, Only 24 cases (10.48%) were ambulance ambulances, the time of ischemic stroke was higher than that of hemorrhagic stroke, the difference was statistically significant (P <0.05), and the first symptom was still common (48.91%) with decreased muscle strength Emergency or outpatient intervention is poor. During the hospitalization of various cerebrovascular disease risk factors screening is completed, the treatment is still based on traditional Chinese medicine and neuroprotective therapy, patients discharged at the time of symptom improvement rate of 82.10%, but the discharge rate is low, such as blood pressure Guidance is only 53.21%, antithrombotic guidance is only 72.80%. Conclusion: There is a delay in the treatment of acute stroke. At the same time, it is necessary to strengthen the education of public emergency awareness and the standard training of clinicians.