院前急救治疗措施对脑出血急救病例预后的影响

Effect of pre-hospital emergency treatment on prognosis of cerebral hemorrhage

目的探讨院前急救治疗措施对脑出血急救患者的预后疗效。方法选取2016年2月~2017年4月在我院急救中心进行急救的60例脑出血患者作为研究对象,以患者接受治疗的顺序为依据分为观察组和实验组,每组各30例。对照组患者接受院内急救治疗,实验组患者在接受院前急救治疗措施后,接受院内急救治疗,比较两组患者的治疗效果,并发症发生率以及神经缺损情况。结果两组患者接受治疗后,实验组患者的抢救有效率为83.33%显著高于对照组(50.00%);实验组患者并发症发生率为33.34%,明显低于对照组(50.00%);实验组患者的神经功能评分为(31.98±5.67)分,明显高于对照组患者[(20.74±2.64)分],两组患者的结果比较差异有统计学意义(P<0.05)。结论脑出血患者在治疗前接受院前急救可以显著改善其预后效果,特别是对于降低患者的死亡率、并发症发生率以及患者脑功能神经缺损程度有明显效果,值得将院前急救措施进一步完善、推广。

Objective To explore the prognosis of patients with cerebral hemorrhage before treatment.Methods A total of 60 patients with cerebral hemorrhage who were treated in our hospital the emergency center from February 2016 to April 2017 were selected as the subjects,and the patients were divided into observation group and experimental group, 30 cases in each group.The patients in the control group received first aid treatment in the hospital.After receiving the first aid treatment,the patients in the experimental group received the first aid treatment in the hospital.The treatment effect,the occurrence probability of the complication and the neurological defect were compared between the two groups. Results After treatment,the effective rate （83.33%） was significantly higher in the experimental group than that in the control group（50.00%）.The complication rate（33.34%） in the experimental group was significantly lower than that in the control group（50.00%）,the difference between the two groups was statistically significant（P〈0.05）.The neurological function score [（31.98 ±5.67） points] in the experimental group was significantly higher than that in the control group [（20.94±2.64） points],which was statistically significant.Conclusion Intracerebral hemorrhage in patients with pre-hos- pital treatment can significantly improve the prognosis of the effect,especially for reducing the mortality rate of patients, the incidence of complications and brain function neurological deficits have a significant effect,it is worth further hospi- tal emergency measures to improve promotion.