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BMC Neurol:中国成人卒中后会及时叫救护车吗?

2020-04-07 MedSci原创 MedSci原创

由于健康行为随着年龄的增长而变化,本研究旨在研究40-74岁和75-99岁的成年人在认识到中风后呼叫紧急医疗服务(EMS)的潜在障碍。

由于健康行为随着年龄的增长而变化,本研究旨在研究40-74岁和75-99岁的成年人在认识到中风后呼叫紧急医疗服务(EMS)的潜在障碍。

 

数据来源于2017年1月至2017年5月进行的一项基于社区的横断面研究(FAST-RIGHT),研究对象为中国69个行政区域的成年人(年龄≥40岁)。对识别出脑卒中症状的居民亚组(153675)进行了分析。在40-74岁和75-99岁年龄组中分别进行了多变量logistic回归模型,以确定与脑卒中发病时的等待行为相关的因素。

 

结果显示,在40-74岁和75-99岁年龄组中,选择 "在家自我观察 "的受试者比例分别为3.0%(3912人)和3.5%(738人);选择 "等待家人,然后去医院 "的比例分别为31.7%(42071人)和33.1%(6957人)。在两组中,农村户籍、与配偶同住、收入较低(年收入<731美元)、了解卒中的途径单一、有卒中朋友等都是与等待家人有关的因素。然而,与40-74岁年龄组不同的是,性别、子女数量、家族史和中风病史并不影响75-99岁年龄组的卒中发病时的行为。

 

总之,在这一特定人群中,40-74岁和75-99岁年龄段的人群在识别卒中和呼叫急救车方面存在不同的障碍。建议对这两个年龄段的人群采取不同的策略,主要是改变 "等待家人 "的行为,强调立即呼叫急救车。

 

原始出处:

 

Shengde LiLi-Ying Cui, et al., Barriers from calling ambulance after recognizing stroke differed in adults younger or older than 75 years old in China. BMC Neurol. 2019; 19: 283.

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    2021-01-20 yinhl1978
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    2020-04-07 健健

    卒中虽然是临床上常见病,溶栓,取栓等血管内治疗也很成熟,但是仍然有很多未知问题有待认知!

    0

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