急性脑出血患者院前急诊急救的临床观察

Clinical Observation of Acute Cerebral Hemorrhage Patients Treated in the Emergency Room

目的本次调研的内容是院前急诊急救急性脑出血病症效果对病患病症医治产生的影响,进而提高急性脑出血病症病患的医治效果。方法在2017年1月份至2018年6月份期间,我院对120名急性脑出血病症病患进行了具体的病症医治操作。按照随机数字表法分为对照组(60例)与实验组(60例),对年龄、病症等病患进行有效的院前急诊急救,将两组基本资料相仿的患者进行分组比较。其中实验组患者采取现场抢救系统,而对照组患者未予现场抢救系统。比较两组患者心脏停止跳动的时间到急性脑出血病症的时间之间的间隔,按病患的并发症发生情况,比较消化道出血情况,中枢性高热情况,呼吸衰竭情况以及心力衰竭情况的概率情况。结果对照组和实验组病患最终的有效急救时间之间存在较大的差异,其中实验组病患的有效急救时间明显短于对照组的病患。除此之外,实验组病患的消化道出血,中枢性高热,呼吸衰竭,心力衰竭等并发症的发生概率也相对较少。采取院前现场抢救系统的急性脑出血患者在有效急救时间和并发症发生概率方面显著优于对照组患者,差异具有统计学意义(P<0.05)。结论综上所述,通过此次研究,经过急诊院前急救与急性脑出血病症成功率之间存在密切联系。对急性脑出血病症的病患进院前急诊急救,可有效缩短急救时间,减少病发症发生概率,为患者提高救治成功率提供了有力保障。

Objective To investigate the effect of prehospital emergency treatment for patients with acute cerebral hemorrhage so as to improve the therapeutic effect.Methods 120 patients with acute cerebral hemorrhage treated in our hospital from January 2017 to June 2018 were randomly divided into control group(60 cases)and experimental group(60 cases).Effective prehospital emergency treatment was carried out for the patients.The two groups with similar basic information according to their age and symptoms were compared.The patients in the experimental group were given on-site emergency treatment,while those in the control group were not.The interval between the time of cardiac arrest and the time of acute cerebral hemorrhage was compared between the two groups.According to the complications of the patients,the incidence of gastrointestinal hemorrhage,central high fever,respiratory failure and heart failure were compared.Results There was a big difference in the final effective first aid time between the two groups.The effective first aid time of the experimental group was significantly shorter than that of the control group.Besides,the experimental group had lower incidence of gastrointestinal bleeding,central high fever,respiratory failure,heart failure and other complications.The patients with acute cerebral hemorrhage who adopt the prehospital emergency treatment were significantly better than those in the control group in terms of effective first aid time and probability of complications,with statistically significant difference(P<0.05).Conclusion In summary,through this study,there is a close relationship between prehospital emergency treatment and the success curative rate of acute cerebral hemorrhage.Timely treatment and operation for acute cerebral hemorrhage can provide a powerful guarantee for better treatment effect.