高血压急诊院前急救100例临床分析

Clinical analysis of 100 emergency cases of pre-hospital first aid treatment of hypertension

目的探讨高血压急诊院前急救的措施及效果。方法将佛山市南海区第二人民医院100例急诊院前急救的高血压脑出血患者作为观察组,同期急诊科住院无院前急救的96例高血压脑出血患者作为对照组。比较两组患者治疗效果、并发症和死亡构成比有无差别。结果观察组治疗有效(包括治愈、显效和有效)的构成比显著高于对照组,χ2=5.74,P=0.017;并发症发生构成比显著低于对照组,χ2=4.24,P=0.039;观察组的死亡构成比显著低于对照组,χ2=5.14,P=0.023。结论及时有效的院前急救是提高高血压脑出血患者治疗有效性,降低并发症和死亡的关键。

Objective Study measures and effects of pre-hospital first aid treatment of emergency hypertension cases. Methods Take 100 emergency cases of hypertension received pre-hospital first aid treatment as observation group; another 96 emergency eases of hypertension without prehospital first aid treatment as control group. Compare whether there were differences in the curative effects, complications and mortality between two groups. Results The treatment effectiveness of observation group was significantly higher than that of control group,X^2=5.74,P=0.017. Incidence of complications of observation group was significantly lower than that of control group,X^2=4.24,P=0.039. Mortality of observation group was significantly lower than that of control group, X^2=5.14 ,P=0.023. Conclusion Timely and effective pre-hospital first aid is very important on enhancing the treatment effectiveness, reducing complications and death.