| Objective The stroke 120 public education system was used to educate the target population about stroke recognition knowledge,and to analyze whether the stroke recognition ability of patients from the target population was improved after the education,in order to reduce prehospital delay,improve the efficiency of emergency treatment for acute ischemic stroke,and improve the prognosis of patients.Methods With the community unit population as the intervention target,Inner Mongolia People’s Hospital and Tuxian Hospital,two hospitals with the ability to treat stroke,were selected in Huhhot area,and one community unit meeting the research conditions was selected with their respective hospitals as the center.According to the principle of random allocation,the community unit selected by Inner Mongolia People’s Hospital was selected as the intervention community.The community unit selected from Tuoxian Hospital was taken as the control community,and the 1-year stroke 120 education was carried out on the intervention community population.Before education,50 patients with acute cerebral infarction from target communities admitted to the Department of Neurology of Tuoxian Hospital in the second half of 2021 were collected as baseline group 1;Fifty patients with acute cerebral infarction from target communities admitted to neurology department of our hospital in the second half of 2021 were collected as baseline group 2.After education,100 cases of acute cerebral infarction patients from target communities admitted to the neurology Department of Tuoxian Hospital in 2022 were collected as the control group;100 cases of acute cerebral infarction patients from target communities admitted to the neurology department of our hospital in 2022 were collected as the intervention group.The baseline data of the four groups were compared,and the differences in ODT time,intravenous thrombolysis rate and 120 utilization rate were mainly compared between the intervention group and the control group.The NIHSS score of the two groups was compared with the NIHSS score on admission at 5-7 days and m RS Score to judge the degree of neurological function recovery and prognosis.Results A total of 300 cases with complete data were collected,and all patients were followed up 90 days after onset.1.Baseline data: There were no statistically significant differences between baseline group 1,baseline group 2,control group and intervention group in gender,age,distance from place of onset to hospital,smoking,hypertension,diabetes,coronary heart disease,atrial fibrillation,hyperlipidemia,little exercise,obesity and family history of stroke,all of which were compared among the four groups,P > 0.05.2.Clinical data of the intervention group and the control group:(1)The median ODT time of the intervention group was 9.75 hours,and the median ODT time of the control group was 23.5 hours,the difference between the groups was significant,P< 0.05.(2)The rate of hospitalization within 3 hours was 30% in the intervention group and 15% in the control group,with significant difference between groups,P < 0.05.(3)The rate of intravenous thrombolysis was 29% in the intervention group and 13% in the control group,with significant difference between the two groups,P < 0.05.(4)The utilization rate of 120 was 13% in the intervention group and 5% in the control group.After adjusting for the utilization rate of 120 in the baseline group,there was no difference between the groups,P > 0.05.(5)The median difference between the NIHSS score at admission and the NIHSS score at 5-7days in the intervention group was 1 point and the interquartile distance was 2 points;the median difference between the NIHSS score at admission and the NIHSS score at 5-7 days in the control group was 1 point and the interquartile distance was 1 point,and the difference between the groups was significant,P < 0.05.(6)The proportion of m RS Score ≤2 was 95% in the intervention group and 87% in the control group on the 90 th day.After adjusting for the proportion of m RS Score ≤2 in the baseline group,the difference between the groups was significant,P < 0.05.Conclusion 1.Stroke 120 Public education can reduce ODT time and increase hospital arrival rate by 3 hours,thus reducing pre-hospital delays.2.Stroke 120 public education can improve the rate of intravenous thrombolysis,increase the utilization rate of 120 to a certain extent,reduce the symptoms of neurological impairment in patients,and improve the prognosis.3.Stroke 120 The promotion of public education can improve the efficiency of acute ischemic stroke treatment and reduce the burden on families and society. |
PDF Full Text Request