院前急救对高血压性脑出血患者的治疗效果探讨

Therapeutic Effect of Pre-hospital First Aid on Patients With Hypertensive Intracerebral Hemorrhage

目的分析院前急救对高血压性脑出血患者的治疗效果。方法选取我院2016年1月—2018年1月收治的140例高血压脑出血患者作为研究对象。根据有无实施院前急救,将患者分为对照组和观察组,每组各70例。对照组患者由家属护送入院,未进行院前急救操作;观察组患者均由我院急救车现场接回,医护人员陪同,接诊过程中采取院前急救措施。观察比较两组患者有效转运时间、临床疗效、并发症发生情况。结果观察组患者治疗总有效率、有效转运时间分别为90.00%、(0.93±0.16)h,对照组患者治疗总有效率、有效转运时间分别为74.29%、(1.32±0.35)h,观察组均优于对照组,差异具有统计学意义(P <0.05);观察组患者并发症发生率为12.86%(9/70),对照组患者并发症发生率为28.57%(20/70),差异具有统计学意义(χ~2=5.262 5,P=0.022)。结论院前急救对高血压性脑出血患者的治疗效果显著,有效缩短转运时间,减少并发症的发生,提高急救有效率。

Objective To analyze the therapeutic effect of pre-hospital first aid on patients with hypertensive intracerebral hemorrhage.Methods A total of 140 patients with hypertensive intracerebral hemorrhage admitted to our hospital from January 2016 to January 2018 were enrolled.According to the presence or absence of pre-hospital first aid, the patients were divided into control group and observation group, 70 cases in each group.The patients were escorted and admitted to the hospital by the family.No pre-hospital emergency operation was performed.The patients in the observation group were taken back from the ambulance at our hospital.The medical staff accompanied them.The pre-hospital emergency measures were taken during the consultation. The effective transit time of the two groups was observed and compared. Clinical efficacy and complications.Results The total effective rate and effective transit time of the patients in the observation group were 90.00% and (0.93±0.16) h,respectively.The total effective rate and effective transit time of the patients in the control group were 74.29% and (1.32±0.35) h,respectively.The observation group was better than the control group,the difference was statistically significant (P < 0.05).The incidence of complications in the observation group was 12.86%(9/70).The incidence of complications in the control group was 28.57%(20/70),the difference was statistically significant (χ^2=5.262 5, P=0.022).Conclusion Pre-hospital first aid has a significant therapeutic effect on patients with hypertensive cerebral hemorrhage,effectively shortening the transit time,reducing the occurrence of complications and improving the efficiency of first aid.