以前诊断的高血压可能会减少中风反应时间.
Karolina Tworek1, Kamil Kosal2, Barbara Owecka2
1Department of Public Health, Poznań University of Medical Sciences (PUMS), Święcickiego 6 60-781, Poznań, Poland.
概括
以前诊断的高血压和心房动在中风患者中很常见. 那些被诊断患有高血压的人更早到达医院,可能是由于提高了健康意识.
科学领域:
- 神经学 神经学
- 心脏病学 心脏病学
- 公共卫生 公共卫生
背景情况:
- 及时治疗对于中风预后至关重要;血栓溶解的4.5小时窗口在波兰 (2016-2018) 是标准的.
- 延迟入院显著影响中风后的患者结果.
- 了解影响入院时间的因素,如并发症,对于改善中风护理至关重要.
研究的目的:
- 研究先前存在和未被诊断的并发病对中风患者入院时间的影响.
- 为了比较在4.5小时治疗窗口内和之后入院的中风患者之间的并发病率.
主要方法:
- 对161名中风患者的回顾性分析,这些患者在症状出现后超过4.5小时就入院.
- 评估研究组中诊断的和新发现的并发症.
- 与85名中风患者的对照组进行比较,这些中风患者入院时间小于4.5小时,接受了血栓溶解.
主要成果:
- 诊断高血压 (89.41% vs 78.3%) 和心房 (20.5% vs 5.88%) 的患病率较高,这些患者的入院时间较晚 (>4.5小时).
- 两组之间新诊断的高胆固醇血症,心房动或高血压没有显著差异.
- 在后来入院的组中,先前诊断的高血压明显更常见.
结论:
- 以前诊断的高血压和心房动是中风患者中最常见的并发症.
- 高血压的诊断似乎与延迟入院有关.
- 在被诊断为高血压患者中,提高健康意识可能有助于更早的呈现,与发现相反.
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