中国急性缺血性脑卒中患者院前延迟影响因素的

敏感性分析结果显示， 95%CI (1.909。

王兆兰 单位： 1.610095四川省成都市， Chengdu 610075， 95%CI (1.726，并手工检索所有纳入文献的参考文献，郭雅乐 。

5.627) ] ，95%CI（1.438，Egger's检验结果显示，2.579）〕、居住地为农村〔OR=3.278。

and referral are risk factors forprehospital delay in Chinese patients with acute ischemic stroke. ， lack of knowledge about stroke diseases，结果 经过筛选后最终纳入17篇文献， 英文摘要： Objective To explore the influencing factors of prehospital delay in Chinese patients with acute ischemicstroke through meta-analysis. Methods A computer search was conducted for literature on related factors or influencing factorsof prehospital delay in Chinese patients with acute ischemic stroke published by CNKI。

Wanfang Data，其中延迟组2 958例、非延迟组2 811例；各文献的NOS评分为6～8分， and referral [OR=3.686，Meta分析结果显示。

95%CI（3.377， 17 literature were finallyincluded，2.595）〕、缺乏脑卒中疾病相关知识〔OR=2.008， Chinese BiomedicalDatabase， lack of knowledge about stroke diseases [OR=2.008， no history of atrialfibrillation [OR=1.993，方法 计算机检索中国知网、万方数据知识服务平台、维普网、中国生物医学文献数据库、PubMed、Web of Science、Cochrane Library公开发表的关于中国急性缺血性脑卒中患者院前延迟相关因素或影响因素的文献， China2.Nursing Department， 2.595) ] ， China 关键词： 卒中；院前延迟；中国；Meta分析 关键词（英文）： Stroke; Prehospital delay; China; Meta-analysis 中图分类号： R 743 DOI： 10.12114/j.issn.1008-5971.2023.00.312 基金项目： 四川省科学技术厅2022年重点研发计划项目（22KJPX0117） 摘要： 目的 通过Meta分析探讨我国急性缺血性脑卒中患者院前延迟的影响因素， VIP， and referral (P 0.05) .Conclusion Living alone， rural residence，rural residence， non-ambulance transport mode [OR=5.242， non-ambulance transport mode，6.185）〕是中国急性缺血性脑卒中患者院前延迟的危险因素（P＜0.05）， Chengdu 610095， 95%CI (2.197。

no history of atrial fibrillation。

报道独居、缺乏脑卒中疾病相关知识、居住地为农村、NIHSS评分的文献间存在发表偏倚（P＜0.05）， 95%CI (3.377， including 2 958 patients in the delayed group and 2 811 patients inthe non-delayed group. The NOS scores of all literature ranged from 6 to 8. The results of meta-analysis showed that living alone[OR=2.116， 8.138) ] ， and NIHSS score (P 0.05) ， lack of knowledge aboutstroke diseases， 95%CI (1.564， 2023年12期 第31卷 医学循证 中国急性缺血性脑卒中患者院前延迟影响因素的Meta 分析 Influencing Factors of Prehospital Delay in Chinese Patients with Acute Ischemic Stroke: a Meta-analysis 作者：曾翔 ， 6.185) ] were risk factors for prehospitaldelay in Chinese patients with acute ischemic stroke (P 0.05) . Sensitivity analysis results showed that meta-analysis results ofother influencing factors did not significantly change except National Institutes of Health Stroke Scale (NIHSS) score. Egger's testresults showed that there was publication bias among literature reporting living alone，由两名研究人员独立进行文献筛选和资料提取，5.627）〕、转运方式为非救护车〔OR=5.242， PubMed。

2.763) ] 。

95%CI (1.438， Chengdu First Peoples Hospital。

95%CI（2.197，成都医学院 2.610095四川省成都市第一人民医院护理部 3.610075四川省成都市，报道转运方式为非救护车、无心房颤动史、转诊的文献间不存在发表偏倚（P＞0.05），王昆 ， rural residence[OR=3.278，独居〔OR=2.116，2.763）〕、转诊〔OR=3.686，成都中医药大学 单位（英文）： 1.Chengdu Medical College， China3.Chengdu University of Traditional Chinese Medicine， 2.579) ] 。

共包括5 769例急性缺血性脑卒中患者， no history of atrial fibrillation，95%CI（1.726，由两名研究人员采用纽卡斯尔-渥太华量表（NOS）评价文献的质量，8.138）〕、无心房颤动史〔OR=1.993，检索时间为建库至2023年5月，李军文 ，除美国国立卫生研究院卒中量表（NIHSS）评分外。

including 5 769 patients with acute ischemic stroke， Web of Science and Cochrane Library. The retrieval time was from the establishment of the database to MayAll references included in the study were manually searched. Literature screening and data extraction were conductedindependently by two researchers. The quality of the literature was evaluated using the Newcastle-Ottawa Scale (NOS) by twoinvestigators. Meta-analysis was performed using Stata 12.0 software. Results After screening，95%CI（1.909。

Chengdu 610095，95%CI（1.564，使用Stata 12.0软件进行Meta分析，。

while there was no publication bias among literature reporting non-ambulancetransport mode，其他影响因素的Meta分析结果未发生明显改变，结论 独居、缺乏脑卒中疾病相关知识、居住地为农村、转运方式为非救护车、无心房颤动史、转诊是中国急性缺血性脑卒中患者院前延迟的危险因素。