探讨急诊内科急救措施对脑出血患者的临床价值

Clinical value investigation of first aid measures in emergency internal medicine for patients with cerebral hemorrhage

目的探讨急诊内科对脑出血患者采取急救措施的临床价值。方法 90例脑出血患者,随机分为对照组和观察组,每组45例。对照组采用常规内科保守治疗,观察组在对照组基础上采用微创穿刺引流术治疗,比较两组患者的急救效果及颅内压恢复时间、意识恢复时间、住院时间。结果观察组患者显效27例,有效16例,无效2例,急救总有效率为95.6%;对照组患者显效18例,有效15例,无效12例,急救总有效率为73.3%;观察组患者的急救总有效率明显高于对照组,差异具有统计学意义(P<0.05)。观察组颅内压恢复时间、意识恢复时间及住院时间均短于对照组,差异具有统计学意义(P<0.05)。结论针对脑出血患者采取有效的急诊内科急救措施,急救效果显著,值得推广使用。

Objective To investigate the clinical value investigation of first aid measures in emergency internal medicine for patients with cerebral hemorrhage. Methods A total of 90 patients with cerebral hemorrhage were randomly divided into control group and observation group, 45 cases in each group. The control group was treated with conventional conservative treatment, the observation group was treated with minimally invasive puncture and drainage on the basis of the control group. The first aid effect, intracranial pressure recovery time, consciousness recovery time and length of stay between the two groups were compared. Results In the observation group, 27 cases were markedly effective, 16 cases were effective, 2 cases were ineffective, the total effective rate was 95.6%; in the control group, 18 cases were markedly effective, 15 cases were effective, 12 cases were ineffective, and the total effective rate was 73.3%. The total effective rate of first aid in the observation group was significantly higher than that in the control group, the difference was statistically significant（P0.05）. The intracranial pressure recovery time, consciousness recovery time and length of stay in the observation group were significantly shorter than those in the control group, the differences were statistically significant（P0.05）. Conclusion Aiming at cerebral hemorrhage patients, the implementation of effective emergency medical first aid measures has remarkable first aid effect, it is worthy of promotion and use.