院前急救对脑出血患者预后的影响分析

Analysis of the Effect of Pre-hospital First Aid on the Prognosis of Patients with Cerebral Hemorrhage

目的分析院前急救对脑出血患者预后的影响。方法方便选择该院2016年4月—2017年4月接诊的行院前急救的脑出血患者73例,标记为观察组,另选择同期入院的未给予院前急救的脑出血患者70例,标记为对照组,观察两组入院时脑疝发生情况,随访1个月,统计两组死亡例数、伴有后遗症例数、发生并发症例数。结果观察组患者入院时脑疝发生率5.5%,对照组为22.9%;随访1个月后,观察组死亡率2.7%、后遗症发生率45.2%、并发症发生率12.3%,对照组分别为21.4%、68.6%、40.0%;观察组患者脑疝发生率、死亡率、后遗症发生率、并发症发生率均明显低于对照组,差异有统计学意义(P<0.05)。结论给予脑出血患者院前急救后,可明显改善患者预后情况,提高生存质量。

Objective This paper tries to analyze the effect of pre-hospital first aid on the prognosis of patients with cerebral hemorrhage. Methods 73 cases of cerebral hemorrhage patients in this hospital from April 2016 to April 2017 received pre-hospital first aid treatment were convenient selected as the observation group. 70 cases of the same period without the emergency treatment were regarded as the control group, and the cerebral hernia of the two groups were observed, and the death cases, sequela cases, and complications of the two groups for 1 month follow-up were concluded. Results The incidence of cerebral hernia was 5.5% in the observation group and 22.9% in the control group. After follow-up of 1 month, the mortality rate of observation group was 2.7%, the sequel incidence rate was 45.2%, complication rate was 12.3%, and the control group was 21.4%, 68.6%, and 40.0% respectively. The incidence of cerebral hernia, mortality, the incidence of sequela and the incidence of complications of the observation group were significantly lower than those in the control group,and the difference was significant（P0.05）. Conclusion The pre-hospital first aid can effectively improve the prognosis of patients and improve the quality of life of patients with cerebral hemorrhage.