探讨急诊绿色通道在抢救高血压脑出血患者中的应用效果

Application effect of emergency green channel in patients with hypertensive cerebral hemorrhage

目的探讨急诊绿色通道在抢救高血压脑出血患者中的应用效果。方法选取我院2016年1月~2017年6月收治的高血压脑出血患者110例,按照随机数字表法将患者分为院前急救组和非院前急救组,且按照抢救时间划分,抢救时间在1h内的患者有36例,1~5h的患者45例,5h以上患者29例,对比分析两组患者死亡率及不同抢救时间下抢救结果对比。结果院前急救组患者死亡率为10.9%,非院前急救组患者死亡率为38.18%,经统计学对比分析,差异有统计学意义(P<0.05),抢救时间在5h以外患者的死亡率最高,为48.27%,其次为1~5h,死亡率为22.22%,最后为1h以内,死亡率为5.55%,三组比较,差异有统计学意义(P<0.05)。结论急诊绿色通道能够更好的抢救高血压脑出血患者,抢救效果较好,临床应用价值较高。

Objective To explore the application effect of emergency green channel in patients with hypertensive cerebral hemorrhage. Methods 110 patients with hypertensive cerebral hemorrhage in our hospital from January 2016 to June 2017 were selected,and the patients were divided into pre-hospital first aid group and non-hospital first aid group according to the random digital table method,and according to the rescue time division.There were 36 patients within 1 hour, 45 patients in 1-5 hours,29 patients above 5 hours.The mortality and salvage results of different rescue time between the two groups were compared. Results The mortality rate was 10.9% in the pre-hospital emergency group,38.18% in the non-hospital emergency group,and the difference was statistically significant（P 〈 0.05）.The highest mortality rate was 48.27% in patients with 5h, followed by 1-5h,22.22%,and 5.55% death rate within lh,the difference between the three groups was statistically significant（P 〈 0.05）. Conclusion The emergency green channel can better rescue the patients with hypertensive cerebral hemorrhage,the rescue effect is better,the clinical application value is higher