142例重症高血压脑出血患者院前急救临床分析

Clinical analysis of 142 cases of severe hypertensive cerebral hemorrhage patients with pre-hospital first aid

目的探讨院前急救对重症高血压脑出血的作用,以期提高临床诊治水平。方法选取142例重症高血压脑出血患者为研究对象,平均分成2组,对照组未进行院前急救,直接入院治疗,观察组均进行院前急救,观察2组生活质量、并发症情况。结果对照组中枢性高热、气道堵塞、脑疝、呼吸衰竭、消化道出血发生率分别为38.03%、26.76%、25.35%、15.49%、12.68%,观察组分别为22.53%、14.08%、12.68%、8.45%、5.63%,2组比较差异有统计学意义(P<0.05)。对照组痊愈率14.08%,病死率29.58%,总有效率52.11%;观察组痊愈率23.94%,病死率14.08%,总有效率74.65%,2组比较差异有统计学意义(P<0.05)。2组治疗后生活质量生理功能、生理职能、躯体疼痛、社会功能、情感功能、精神健康比较差异有统计学意义(P均<0.05)。结论院前急救对重症高血压脑出血预后较好,院前争取抢救时间提高了临床效果,降低了并发症。

Objective To investigate the effect of pre-hospital first aid on severe hypertensive cerebral hemorrhage patients,in order to improve the level of clinical diagnosis and treatment. Methods A total of 142 cases of severe hypertensive cerebral hemorrhage patients from January 2011 to January 2013 were selected as the research objects,and were divided into two groups; control group was directly admitted to the hospital for treatment, without a hospital first aid; the observation group was given pre-hospital first aid. The quality of life and complications of the two groups were observed. Results In the control group, central high fever, airway obstruction, cerebral hernia, respiratory failure, gastrointestinal bleeding rate were 38. 03%,26.76%,25.35%,15.49%,12.68% the observation group were 22.53%,14.08%, 12.68%,8. 45%,5.63%,there were significant differences between the two groups（P〈0.05） ; the cure rate of control group was 14.08% ,the mortality rate was 29.58% ,the total effective rate was 52.11% ;the cure rate of observation group was 23.94% ,the mortality rate was 14. 08% ,the total effective rate was 74.65% ,there was significant difference between the two groups（P〈0.05） ; after treatment, the quality of life of physiological function, physiological function, bodily pain, social function, emotional function and mental health in the two groups had statistical significances（P〈0.05）. Conclusion The pre-hospital first aid for severe hypertensive cerebral hemorrhage has a better prognosis; the pre-hospital first aid can rescue time,improve the clinical effect, and reduce the complications.