探讨脑出血患者在急诊内科的急救措施

Investigation on the First-aid Measures of Cerebral Hemorrhage Patients in Emergency Department

目的探讨脑出血患者在急诊内科的急救措施。方法回顾性分析我院于2016年5月—2017年5月所收治的64例脑出血患者临床资料,依急救方式不同将其分为对照组和观察组,对照组行内科保守治疗,观察组行微创穿刺引流术治疗,观察并比较两组患者的急救效果。结果观察组抢救成功率为96.88%,高于对照组的68.75%,差异具统计学意义(P<0.05);观察组并发症的发生率为6.25%,低于对照组的25.00%,差异具统计学意义(P<0.05);观察组住院时间、意识恢复时间及颅内压恢复时间均短于对照组,差异具统计学意义(P<0.05)。结论相比于传统保守治疗,于急诊内科对脑出血患者行微创穿刺引流术进行治疗可有效提高抢救成功率,减少并发症的发生,加快患者意识及颅内压的恢复,缩短患者住院时间,促进患者快速康复,具有较高临床应用价值。

Objective To discuss the first-aid measures of cerebral hemorrhage patients in emergency department.Methods64cases of cerebral hemorrhage patients’clinical information were retrospective analyzed from May2016to May2017,and were divided into control group and observation group according to the first aid method.The control group were treated with conservative treatment.The observation group were treated with minimally invasive puncture and drainage.The first aid effect were observed and compared between the two groups.Results The success rate of the observation group was96.88%,was significantly higher than the control group of68.75%,the difference was statistically significant(P<0.05).The incidence of complications in the observation group was6.25%,was significantly lower than the control group of25.00%,the difference was statistically significant(P<0.05).The time of hospitalization,the recovery time of consciousness and the recovery time of intracranial pressure in the observation group were significantly shorter than those in the control group,the difference was statistically significant(P<0.05).Conclusion Comparing to traditional conservative treatment,patients in the emergency department with cerebral hemorrhage using minimally invasive puncture drainage for treatment,effectively improve the success rate of rescue,reduce the incidence of complications,speed up patients’awareness and recovery of intracranial pressure,shorten the hospital stay,promote rapid recovery of patients,with a high clinical value.