院前急救对急性脑血管病初期的临床作用.pdfVIP

• 1960 • 西部医学 2012 年 10 月第 24 卷第 10 期 Med J West China.October 2012. VoL 24.No. 10 院前急救对急性脑血管病初期的临床作用 李仲春1 ，朱成明2 ，姜文1 〈雅安市人民医院 1. 急诊科.2. 神经外科，四川雅安 625000) 【摘要】 目的 探讨院前急救对急性脑血管病初期的临床疗效。方法 对 120 例病人随机分为院前纽和院内纽各 60 例，比较两组的病请和病死率，院前纽采取积极的院前急救榜施，并注意院前急放中约护理方法。结果 说前组经正 确、有效的急救护理，快速安全转入医院 49 例，有效率为 8 1. 7%. 院内纽仅为 1 1. 7%. 两组比较cpo. 0 1);院前纽 5 例 在转运途中病情恶化，到院后死亡，占 8.3%. 院内组为 2 1. 6%. 两纽比较CPO. 05); 脑病发生率院前组为 6.6%. 院内 主且为 25% .两组比较CPO. 0 1);呼吸道阻塞卒院前组为 3.3%. 院内组为 41. 7 %.两组比较CPO.01)。结论 正确、及 时、有效的院前急救能降低急性脑血管病的病死卒，是影响该类疾病发展、转归的重要因素。 【关键词】 急性脑血管病;初期;院前急救 E中图分类号】 R 743 【文献标识码】 A doi: 10. 3969/j. issn. 1672-351 1. 2012. 10.044 Effect of pre- hospital medical care in the early stage of acute cerebrovascular disease LI Zhong-chun .ZHU Cheng-mint .JIANG Wen (1. Department of Emergency. The People s Hospital of Ya an. Ya an 625000 , Sichuan , China; 2. Department of Neurosurgeγy ， The Peoples Hospital of Yaan , Yaan 625000 , Sichuan , China) [Abstract Objective To investigate the treatment efficiency of pre-hospital emergency care in the early stage of a- cute cerebral vascular disease. Methods 120 patients were divided into pre- hospital group and hospital group. The pre - hospital group was treated with positive pre- hospital emergency treatment. The condition and the fatality rat巳 were observed. Results The effective rate of pre- hospital group and hospital group were 81. 7 % and 11. 7 % CP o. 01). The fatality rate of pre- hospital group and hospital grωp were 8. 3 % and 2 1. 6 % CPO. 05). The incidence of cerebral hernia of pre-hospital group and hospital group were 6. 6% and 25% CPO.0