院前急救护理干预模式改善高血压性脑出血患者神经功能的有效性探究

An Investigation into the Effect of Pre-hospital Care on the Improvement of Neurological Function of Patients with Hypertensive Intracerebral Hemorrhage

目的：观察并探讨院前急救护理干预模式改善高血压性脑出血（Hypertensive intracerebral hemorrhage,HICH ）患者神经功能恢复的影响.方法：选择自2012年10月-2014年10月在某院接受治疗的20例HICH 患者,作为干预组;选取此前2年仅接受常规护理的20例HICH 患者作为对照组.统计两组患者急救时间、住院时间和NIHSS评分,并在护理结束后对患者进行护理满意度调查.结果：干预组患者急救时间和住院时间分别为（19.6±6.3）min、和（17.8±5.6）d,对照组分别为（34.9±11.3）min和（23.8±6.4）d,两组相比,差异具有统计学意义（P〈0.05）;观察组满意度95.0%（19/20）,对照组满意率为65.0%（13/20）,两组相比,差异具有统计学意义（P〈0.05）.干预组患者急救护理前后的NIHSS评分依次为（10.8±3.1）分和（8.7±2.8）分,差异具有统计学意义（P〈0.05）;而对照组依次为（11.2±3.0）分和（10.7±3.4）分,差异不具有统计学意义（P〉0.05）.护理后两者相比,差异也具有统计学意义（P〈0.05）.结论：急救护理流程应用于HICH 患者抢救过程能明显缩短急救时间和住院时间,有利于患者神经功能保全,值得在临床上进一步推广.

Objective:To observe and investigate the effect of pre-hospital care on the recovery of neuro-logical function of patients with hypertensive intracerebral hemorrhage.Methods:Select 20 patients with hy-pertensive intracerebral hemorrhage received in some hospital during the period from October 2012 to Octo-ber 2014 as the intervention group,select 20 patients with HICH who just received conventional nursing in these 2 years as the control group,file up the first-aid time,length of stay and NIHSS of the patients in both group and made a investigation into patients’satisfactory after unrsing.Results:In intervention group,first-aid time,length of stay of the patients were 1 9.6 ±6.3)min ,(17.8±5.6)d respectively and the figure was (34.9±1 1.3)min,(23.8±6.4)d respectively in control group,to compare the 2 groups,the difference was statistically significant(P<0.05);in observation group,the patients’satisfactory was 95.0%(1 9/20),and the figure was 65.0% (13/20 ),to compare the 2 groups,the difference was statistically significant (P <0.05);before and after first-aid nursing ,the NIHSS of the patients in intervention was 10.8 ±3.1 ,8.7 ± 2.8,the difference was statistically significant(P <0.05),while the figure was 1 1.2±3.0,10.7±3.4 in con-trol group,the difference was not statistically significant(P >0.05),after nursing,to compare the 2 groups, the difference was also statistically significant(P <0.05 ).Conclusion:To apply first-aid nursing to patients with HICH can obviously shorten the time of first aid and length of stay,it help to protect patients’neuro-logical function,it is worthy of further clinical promotion.