高血压性脑出血患者院前急救效果观察

Effect observation of pre-hospital emergency in patient with hypertensive intracerebral hemorrhage

目的观察院前急救对高血压性脑出血患者的治疗效果。方法将60例高血压性脑出血患者随机分为急救组与未处理组各30例。急救组于接诊后且未入院前给予现场急救措施;未处理组于接诊后直接转运至院内接受治疗,现场并不进行任何急救措施。观察2组致残率、病死率及抢救成功率。结果急救组病死率、致残率均低于未处理组,抢救成功率高于未处理组,差异均有统计学意义(P<0.05)。结论对高血压性脑出血患者进行院前现场急救措施,能有效提高患者抢救成功率,降低其病死率与致残率,提高患者生活质量,值得临床推广应用。

Objective To observe the effect of pre-hospital emergency in patient with hypertensive intracerebral hem- orrhage. Methods 60 cases patients with hypertensive cerebral hemorrhage were randomly divided into aid group and untreat-ed group, each of 30 cases. Aid group were given first aid measures after reception and before admission, untreated group were transported to the hospital for treatment directly, and given no first aid measures. Observed the morbidity, mortality and survival rate of two groups. Results The morbidity, mortality of aid group were lower than those of untreated group, survival rate of aid group was higher than that of untreated group, the differences were statistically significant （ P 〈 0.05 ）. Conclusion Giving patients with hypertensive intracerebral hemorrhage pre-hospital first aid measures can effectively improve the survival rate, re-duce the mortality and morbidity, improve quality of life, and worthy of clinical application.