院前急救对高血压脑出血治疗效果及预后的影响研究

Study on the Effect and Prognosis of Pre-hospital Emergency Treatment on Hypertensive Cerebral Hemorrhage

目的 分析在治疗高血压脑出血(HICH)中院前急救护理干预效果。方法 选取2021年1月至2022年8月开封市中心医院90例HICH患者作为研究对象。依据有无院前急救划分为两组,各45例,对照组未行院前急救,研究组实施院前急救护理干预,对患者急救反应时间、美国国立研究院卒中量表(NIHSS)评分、Glascow昏迷量表(GCS)评分、生活质量(SF-36)、并发症对比。结果 急救反应时间显示,研究组短于对照组,差异有统计学意义(P<0.05);患者NIHSS评分、GCS评分对比,治疗前比较差异无统计学意义(P> 0.05),治疗后研究组NIHSS评分低于对照组,GCS评分高于对照组,差异有统计学意义(P<0.05);患者SF-36评分对比,治疗前两组比较,差异无统计学意义(P>0.05),治疗后研究组SF-36评分高于对照组,差异有统计学意义(P<0.05);并发症发生率对比,治疗后研究组(4.44%)相比对照组(20.00%)更低,差异有统计学意义(P<0.05)。结论 HICH院前急救明显缩短了急救反应时间,改善了患者神经功能和预后情况,同时提高了患者生活质量,降低了并发症的发生。

Objective To analyze the effect of pre-hospital emergency nursing intervention in the treatment of hypertensive intracerebral hemorrhage(HICH).Methods A total of 90 patients with HICH in Kaifeng Central Hospital from January 2021 to August 2022 were selected as the research objects.According to the presence or absence of pre-hospital first aid,they were divided into two groups,45 cases in each group.The control group did not receive pre-hospital first aid,and the study group received pre-hospital first aid nursing intervention.The emergency response time,National Institute of Stroke Scale(NIHSS)score,Glasgow Coma scale(GCS)score,quality of life(SF-36),and complications were compared.Results The first-aid response time of the study group was shorter than that of the control group,the difference was statistically significant(P<0.05).There was no significant difference in NIHSS score and GCS score before treatment(P>0.05).After treatment,the NIHSS score of the study group was lower than that of the control group,and the GCS score was higher than that of the control group,the difference was statistically significant(P<0.05).There was no significant difference in SF-36 score between the two groups before treatment(P>0.05).After treatment,the SF-36 score of the study group was higher than that of the control group(P<0.05).The incidence of complications in the treatment group(4.44%)was lower than that in the control group(20.00%),and the difference was statistically significant(P<0.05).Conclusions The pre-hospital emergency treatment of HICH can significantly shorten the emergency response time,improve the neurological function and prognosis of patients,improve the quality of life of patients,and reduce the incidence of complications.