脑出血患者在急诊内科的急救治疗分析与研究

Analysis and Research on Emergency Treatment of Patients with Cerebral Hemorrhage in Emergency Department

目的探讨脑出血患者(纳入患者均是自发性脑出血)在急诊内科的急救治疗及效果。方法将该院方便收集2018年6月—2019年6月的58例脑出血患者,根据救治情况分组,A组接受常规治疗,B组实施急诊内科全方位急救治疗。比较两组急诊内科脑出血治疗效果、病情改善的时间、总住院时间;治疗前后美国国立卫生院神经功能缺损评分、血压监测值、并发症。结果B组美国国立卫生院神经功能缺损评分、血压监测值低于A组,差异有统计学意义(P<0.05)。B组急诊内科脑出血治疗效果100.00%高于A组68.97%,差异有统计学意义(χ^(2)=8.417,P<0.05)。B组病情改善的时间、总住院时间(2.46±0.12)、(5.34±1.12)d均低于A组,差异有统计学意义(t=7.621、7.698,P<0.05)。急诊内科全方位急救治疗组并发症3.45%(1/29)低于A组20.69%(6/29),差异有统计学意义(χ^(2)=5.933,P<0.05)。结论急诊内科脑出血患者实施急诊内科全方位急救治疗措施效果确切,可有效改善患者的病情,改善神经功能,并降低颅内压和血压,减少并发症的发生,值得推广和应用。

Objective To explore the emergency treatment and effect of patients with cerebral hemorrhage(involved patients were spontaneous cerebral hemorrhage)in emergency medicine.Methods 58 patients with cerebral hemorrhage from June 2018 to June 2019 were conveniently collected in the hospital and grouped according to the treatment situation.The group A received conventional treatment,and the implements emergency medical comprehensive emergency medical treatment.The treatment effects of cerebral hemorrhage in emergency medical department were compared between the two groups;the time to improve the condition,the total length of hospital stay,the National Institutes of Health Neurological Impairment Score,blood pressure monitoring value,complications before and after treatment.Results The National Institutes of Health Neurological Impairment Score and blood pressure monitoring values in the group B were lower than those in the group A,the difference was statistically significant(P<0.05).The treatment effect of emergency medical cerebral hemorrhage in the group B was 100.00%higher than that of the group A,the difference was statistically significant(χ^(2)=8.417,P<0.05).The time to improve the condition and the total hospital stay of(2.46±0.12)d and(5.34±1.12)d in the group B were lower than those in the group A,the difference was statistically significant(t=7.621,7.698,P<0.05).The complications of the group B were 3.45%(1/29)lower than that of the groupA by 20.69%(6/29),the difference was statistically significant(χ^(2)=5.933,P<0.05).Conclusion The comprehensive emergency treatment measures for patients with cerebral hemorrhage in emergency medical department are effective,which can effectively improve the patient's condition,improve neurological function,reduce intracranial pressure and blood pressure,and reduce the occurrence of complications.It is worthy of promotion and application.