冰敷双侧颈动脉在脑出血昏迷患者转院途中应用.docVIP

冰敷双侧颈动脉在脑出血昏迷患者转院途中应用[摘要] 目的：探讨冰敷双侧颈动脉，在脑出血昏迷患者转院途中的作用效果。方法：选取2007年9月～2009年9月我院救护车接诊的脑出血昏迷患者120例，随机分为对照组和观察组，各60例，对照组采取常规急救措施，观察组除用常规急救措施外，加用了冰敷双侧颈动脉。复查头颅CT，观察脑出血量的变化。结果：观察组转院的患者，其加重脑出血的几率明显低于对照组（P＜0.001或P＜0.05）。结论：脑出血转运途中，加用冰敷双侧颈动脉，可以避免加重脑出血，从而提高转院抢救成功率。 [关键词] 冰敷双侧颈动脉；脑出血昏迷；转院途中 [中图分类号] R743.3[文献标识码]Ａ [文章编号]1673-7210（2010）10（a）-036-02 Application of double carotid artery ice compress used by patients with cerebral haemorrhage coma in the course of first aid for patients LIU Li, ZHU Haili (Department of Emergency, the Central Hospital of Xinxiang City, He′nan Province, Xinxiang 453000, China) [Abstract] Objective: To investigate the efficacy about using double carotid artery ice compress in the course of first aid for patients with cerebral hemorrhage coma. Methods: 120 patients with cerebral hemorrhage coma were randomly divided into treatment group and control group, each 60 cases. Each case of both groups was treated by routine therapy, moreover, all cases in treatment group were treated by using double carotid artery ice compress. All the patients had been confirmed by computerized tomography. The capacities of intracerebral hemorrhage were observed. Results: Compared with the control group, the probability of rehemorrhagia decreased in the treatment group(P＜0.001 or P＜0.05). Conclusion: Double carotid artery ice compress effectively decreased the probability of rehemorrhagia of patients with cerebral hemorrhage, accordingly increased the achievement ratio of rescue. [Key words] Double carotid artery ice compress; Cerebral haemorrhage coma; In the course of first aid for patients 脑出血是脑血管疾病中最严重的类型之一，起病快、发病率高、病情变化快，且呈逐年上升、年轻化趋势。发病后是否能得到及时有效、正确的治疗，直接影响到患者的预后，甚至生命安全。正常情况下，脑出血患者是禁止搬动的，即使发病后24～48 h在变换体位时尽量减少头部的摆动幅度，以免加重出血[1]。这对于要求转院的患者来说顾虑重重，因为途中轻微颠簸，是不可避免的，救护车没有配套的亚低温治疗仪。针对这个问题，2007年9月～2009年9月，我科出救护车接诊脑出血昏迷患者120例，采用了冰敷双侧颈动脉的方法，收到了较为满意的效果。现报道如下： 1 资料与方法 1.1 一般资料 2007年9月～2009年9月经我院救护车接诊脑出血昏迷患者120例，其中，高血压性脑出血98例，其他原因所致22例；男67例，女53例；年龄18～