院前急救与院内急救模式对脑出血患者预后的影响

The effect of pre-hospital care and in-hospital care on the prognosis of cerebral hemorrhage

目的探讨院前急救与院内急救模式对脑出血患者预后的影响。方法抽取我院救治的脑出血患者82例为研究对象,其中42例行院前急救患者为观察组,40例行院内急救患者为对照组,采用格拉斯哥预后评分(GOS)评估2组患者的预后情况,记录并发症发生率。结果观察组良好率(47.62%)较对照组(25.00%)高,病死率(7.14%)较对照组(22.50%)低,差异具有统计学意义(P<0.05)。观察组中枢性高热和血压大幅波动发生率为9.52%、4.76%,对照组为27.50%、22.50%,差异有统计学意义(P<0.05)。急救护理后,观察组NIHSS评分、水肿面积及血肿体积均显著少于对照组,差异有统计学意义(P<0.05)。结论对脑出血患者行院前急救,有利于降低并发症发生率,提高其预后生活质量。

Objective To investigate the effect of pre-hospital care and in-hospital care on the prognosis of cerebral hemorrhage.Methods We selected 82 cases with cerebral hemorrhage as the research objects,including 42 cases treated by pre-hospital care considered as observation group,and 40 cases receiving in-hospital emergency as control group.The Glasgow outcome scale（GOS）was used to evaluate the prognosis of two groups,and the incidence of complications was recorded.Results The rate of favorable prognosis in the observation group was 47.62%,which was hither than 25%in the control group;In addition,the observation group achieved lower mortality rate of 7.14% relative to the rate of 22.50%in the control group,with a significant difference（P〈0.05）.The rate of central hyperthermia and the incidence of largely fluctuant blood-pressure in observation group respectively accounted for 9.52%,4.76%,which were significantly lower than 27.50%,22.50% in control group（P〈0.05）.Furthermore,compared with control group,the observation group showed higher scores of NIHSS,smaller edema size and hematoma size after emergency care（P〈0.05）.ConclusionIt is needed for cerebral hemorrhage patients to carry out pre-hospital care,which may help to reduce the incidence of complications and improve the prognosis and quality of life.