收稿日期: 2024-05-21
网络出版日期: 2025-03-21
基金资助
国家自然科学基金青年项目(82301205);广东省人民医院党建课题项目(GDPHDJ202317)
Review of medical delay in patients with central retinal artery occlusion
邱丽欢 , 梁安怡 , 欧阳淑怡 . 视网膜中央动脉阻塞患者就医延迟研究进展[J]. 中华护理教育, 2025 , 22(3) : 379 -384 . DOI: 10.3761/j.issn.1672-9234.2025.03.019
Medical delay （including pre-hospital and in-hospital delay） is the main cause for the low thrombolytic rate in patients with central retinal artery occlusion. In this paper，we described the concept of medical delay and reviewed the influencing factors. The influencing factors of prehospital delay included demographic factors，symptom perception level，awareness and related knowledge level，visit and transport mode. Through reviewing，limited and inadequate medical resources，incomplete inter-hospital referral system，and lack of standardized treatment procedures were found to be the factors affecting in-hospital delay. After analysis，this paper suggested that sudden painless vision loss in one eye should be included in prehospital stroke assessment to improve public recognition of the disease. Besides，constructing the green channel of central retinal artery occlusion，speeding up the pre-diagnosis triage，diagnosis and treatment，shortening the time from door to needle were recommended to provide reference for improving the medical delay of patients with central retinal artery occlusion in the future.
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