摘要目的 了解我国卒中患者院前延迟的现状和社会决定因素,为制定卒中防治策略与措施提供参考.方法 采用自制问卷,对多家三级医院住院部的脑卒中患者进行调查.采用SPSS 18.0进行单因素分析和logistic回归分析.结果 共收回有效问卷778份.决定就医用时,363(47.27％)例患者少于1h,24.35％超过3h;转运用时,62.14％少于2h,21.67％超过3h.入院延迟的患者达到62.60％.logistic回归显示居住在农村的患者决定就医用时和转运用时都较长,入院延迟的发生率高.结论 卒中患者尤其是农村患者,决定就医用时和转运用时仍较长,院前延迟问题仍很严重.

abstractsObjective To learn current status of pre-hospital delay after onset of stroke and its social determinants.Methods A self-designed questionnaire was used in this multicenter study to collect information of stroke patients admitted to several tertiary hospitals.x2 test,Kruskal-Wallis test and logistic regression were used for data analysis.Results A total of 778 valid questionnaires were received.Fortyseven percent of the patients decided to seek medical help within 1 hour after stroke onset and 24.35％ delayed for 3 hours.Sixty-two percent of the patients spent less than 2 hours in transporting and 21.67％ more than 3 hours.The rate of pre-hospital delay was 62.60％.In logistic regression,those patients living in rural areas had significantly longer pre-hospital delay for decision making and transportation services.Conclusions The time interval between the onset of symptoms and the decision making to seek medical help are far from the optimal in patients with stroke,especially for those living in rural areas.