浅析实施院前急救护理对急性脑出血患者的影响

Analysis of the Effect of Pre-Hospital Emergency Care on Patients with Acute Cerebral Hemorrhage

目的探讨浅析实施院前急救护理对急性脑出血患者的影响。方法选择2018年6月至2019年6月接诊的急性脑出血患者80例作为对象,随机数字表法分为对照组(n=40)和观察组(n=40)。对照组实施院前常规护理,观察组实施院前急救护理,比较两组并发症发生率、病死率及神经功能、日常生活能力评分。结果观察组患者的中枢性高热、急性肺水肿、脑疝、呼吸衰竭并发症发生率为12.50%,低于对照组并发症发生率25.00%(P<0.05),观察组患者的病死率为10.00%,低于对照组病死率17.50%(P<0.05);观察组治疗后神经功能评分为(10.12±1.25)分、日常生活能力评分为(50.23±2.47)分,均高于对照组神经功能评分为(7.26±1.36)分、日常生活能力评分为(38.02±2.35)分,对比具有统计学意义(P<0.05);观察组抢救介入时间、术前准备时间均短于对照组(P<0.05);观察组抢救成功率明显高于对照组(P<0.05)。结论实施院前急救护理对急性脑出血患者具有积极的影响,可降低并发症及病死率的发生,改善患者的神经功能,提高患者的日常生活能力,值得推广应用。

Objective To analyze the effect of pre-hospital emergency care on patients with acute cerebral hemorrhage.Methods Eighty patients with acute cerebral hemorrhage who were admitted from June 20 to June 2019 were enrolled.The random number table was divided into control group(n=40)and observation group(n=40).The control group received pre-hospital routine care,and the observation group implemented prehospital emergency care.The complication rate,mortality,neurological function,and daily living ability scores of the two groups were compared.Results The incidence of central hyperthermia,acute pulmonary edema,cerebral palsy,and respiratory failure in the observation group was 12.50%lower than that in the control group(25.00%)(P<0.05).The mortality rate of the observation group was 10.00%,lower than the control group mortality rate of 17.50%(P<0.05);the neurological function score of the observation group was(10.12±1.25)points and the daily living ability score was(50.23±2.47)points,which were higher than the control group.The score was(7.26±1.36)points and the daily living ability score was(38.02±2.35),and the comparison was statistically significant(P<0.05).Conclusion The implementation of pre-hospital emergency care has a positive impact on patients with acute cerebral hemorrhage,which can reduce the incidence of complications and mortality,improve the neurological function of patients,and improve the daily living ability of patients.It is worthy of popularization and application.