院前急诊急救在急性脑血管病患者中的应用分析

Application of Pre-hospital Emergency First Aid in Patients with Acute Cerebrovascular Disease

目的:探究院前急诊急救在急性脑血管病患者中的应用价值。方法:选取2017年1-10月本院收治的84例急性脑血管病患者,按照随机数字表法将其分为对照组和研究组,各42例。对照组采用常规急救流程进行急诊急救,研究组采用院前急诊急救。比较两组经急诊急救后的存活率、死亡率以及存活患者的抢救时间、住院时间、预后生活质量评分、疗效及并发症发生情况。结果:研究组经急诊急救后的存活率高于对照组,死亡率低于对照组,比较差异有统计学意义(P<0.05);研究组存活患者抢救时间、住院时间分别为(2.1±0.2)h、(10.5±3.1)d,短于对照组的(4.5±0.6)h、(42.8±4.4)d,预后生活质量评分为(71.2±6.0)分,低于对照组的(42.4±4.5)分,比较差异均有统计学意义(P<0.05);研究组存活患者治疗总有效率为97.6%,明显高于对照组的83.3%(P<0.05);研究组存活患者并发症发生率为4.9%,低于对照组的19.4%(P<0.05)。结论:对急性脑血管病患者进行院前急诊急救处理,不仅能有效提高患者抢救的成功率,同时还能缩短患者抢救和预后时间以及降低患者其他不良并发症的发生率,因此,其能有效提高患者整体的预后质量和效果。

Objective:To explore the value of pre-hospital emergency first aid in patients with acute cerebrovascular disease.Method:A total of 84 patients with acute cerebrovascular disease admitted to our hospital from January to October 2017 were selected.According to the random number table method,they were divided into control group and study group,42 cases in each group.The control group was given emergency treatment by routine first aid process,while study group was given pre-hospital emergency first aid.The survival and mortality rate after emergency treatment,the rescue time,hospitalization time,prognostic quality of life score,curative effect and complications of survival patients in two groups were compared.Result:The survival rate of study group after emergency treatment was higher than that of control group,and the mortality rate was lower than that of control group,the difference was statistically significant(P<0.05).The rescue time and hospitalization time of survival patients in study group were(2.1±0.2)h and(10.5±3.1)d shorter than(4.5±0.6)h and(42.8±4.4)d in control group,the prognostic quality of life score was(71.2±6.0)point lower than(42.4±4.5)point in control group,the differences were statistically significant(P<0.05).The total effective rate of survival patients in study group was 97.6%significantly higher than 83.3%in control group(P<0.05).The incidence of complications was 4.9%in study group lower than 19.4%in control group(P<0.05).Conclusion:Pre-hospital emergency first aid for patients with acute cerebrovascular disease can not only effectively improve the success rate of rescue,but also shorten the time of rescue and prognosis and reduce the incidence of other adverse complications.Therefore,it can effectively improve the overall prognosis quality and effect of patients.