院前急救护理在急性脑出血患者中的应用及其对预后的影响

Application of pre-hospital emergency care in acute cerebral hemorrhage and its influence to prognosis

目的:探讨院前急救护理在急性脑出血患者的应用及对预后的影响。方法:选择120例急性脑出血患者进行研究,其中实施院前急救护理程序的68例患者为观察组,未进行院前急救护理的52例为对照组。比较两组患者接受正规治疗时间、住院期间病死率的差异。并于治疗前及治疗后3个月采用改良Barthel指数评估患者日常生活能力(ADL),采用FMA运动功能评定肢体运动功能。结果:观察组患者接受正规治疗时间为(46.28±10.35)min,短于对照组[(71.92±19.27)min],差异有高度统计学意义(P<0.01);观察组与对照组住院期间病死率分别为10.3%和19.2%,观察组低于对照组,差异有高度统计学意义(P<0.01);治疗后3个月观察组改良Barthel指数评分及FMA评分优于对照组(P<0.01)。结论:对急性脑出血患者进行院前急救护理程序,有助于减少住院期间死亡率,改善患者预后。

Objective： To explore the application of pre-hospital fluence to prognosis. Methods： 120 cases with acute cerebral emergency care in acute cerebral hemorrhage and its in- hemorrhage were randomly divided into control group and observation group. 68 patients of observation group were received pre-hospital emergency care, and 52 cases of control group were not received pre-hospital emergency care. The time of the patients treated after first onset and the mortality during in-hospital period were compared between two groups. MBI and FMA were used to evaluate ADL and extremity mo- tor function before and after treatment. Results： The time of the patients treated after first onset in observation group was significantly shorter than that in control group [（46.28±10.35）min vs （71.92±19.27）min, P〈0.01）; The mortality during in- hospital period were 10.3% and 19.2% respectively in observation group and control group, and there was a significant dif- ference between them （P〈0.01）; MBI and FMA in observation group were superior to control group （P〈0.01）. Conclusion： Application of pre-hospital emergency care in acute cerebral hemorrhage can decrease the mortality during in-hospital pe- riod and improve the prognosis of patients.