中西医结合院前急救治疗急性脑卒中40例

Forty Cases of Acute Brain Stroke Treated with Pre-hospital First-Aid by Using Integrated Traditional Chinese and Western Medicine

目的:观察中西医结合院前急救对急性脑卒中患者预后的影响。方法:将80例急性脑卒中患者随机分为试验组和对照组,每组各40例。试验组行院前急救和中西医治疗;对照组为自行入院患者,给予常规治疗方案。比较两组患者的住院时间、满意度;分析两组患者的临床疗效。结果:试验组患者急救时间、住院时间显著小于对照组,满意程度明显高于对照组患者,差异均有统计学意义(P<0.05);经过院前急救和中医诊治,试验组治愈率、致死率显著低于对照组,差异具有统计学意义(P<0.05)。结论:院前急救是急性脑卒中治疗的重要环节,配合院内的中西医治疗,能够显著提高患者的治愈率,降低致死率、致残率;宣传院前急救教育,深化院前急救的意识,提高院前急救技巧,能够显著改善急性脑卒中患者的预后。

Objective： To observe the influence of pre-hospital first-aid by using integrated traditional Chinese and Western medicine on prognosis of patients with acute brain stroke. Methods： Eighty patients with acute brain stroke were randomly divided into the experiment group and the control group,with 40 cases in each group. The patients in the experiment group were given pre-hospital first-aid in combination with integrated traditional Chinese and Western medicine. The patients in the control group went into hospital by themselves and accepted routine treatment. Then in both groups,patients ＇ hospital stays and satisfaction were compared,and the clinical effects were analyzed. Results： In terms of patients＇ first-aid time and hospital-stay time,the experiment group was clearly shorter than the control group. In terms of satisfaction,the experiment group was much higher than the control group. All the differences between them had statistical meaning（ P 〈0. 05）. Through pre-hospital first-aid and TCM diagnosis and treatment,the curative rate of the experimental group was much higher than that of the control group; The death rate of the experimental group was significantly lower than that of the control group; The differences between them had statistical meaning（ P 〈0. 05）. Conclusion： Pre-hospital first-aid is an important link in the treatment of acute brain stroke. In combination with integrated traditional Chinese and Western medicine during hospitalization,it can greatly improve patients＇ curative rate,reduce the death rate and disability rate. Therefore,advocating pre-hospital first-aid education,deepening awareness of pre-hospital first-aid and improving pre-hospital first-aid skills can significantly improve the prognosis of patients with acute brain stroke.