急救护理在急性脑卒中病人院前抢救中的应用效果研究.docVIP

精品论文 参考文献 急救护理在急性脑卒中病人院前抢救中的应用效果研究 刘兰均 　　（遂宁市中心医院急诊科 四川 遂宁 629000） 　　【摘 要】目的：分析医院急救护理在脑卒中患者院前抢救中的重要性，探讨其临床效果。方法：将我院急诊科2012年8月至2014年5月收治的141例新发脑卒中患者按就诊途径分为医院接诊组（79例）与自行就诊组（62例）。医院接诊组采用院前急救护理对患者实施院前急救;自行就诊组采用常规院前急救护理措施。对比两组患者的院前并发症发生率、死亡率、预后效果以及相关时间指标。结果：①医院接诊组的呼吸障碍、脑疝两种并发症的发生率均低于自行就诊组，差异有统计学意义(Plt;0.05)。两组比较，死亡率、致残率以及后遗症发生率差异均有统计学意义（Plt;0.05)，医院接诊组低于自行就诊组。②医院接诊组患者开始接受医院急救时间、到达医院时间均低于自行就诊组，差异有统计学意义（Plt;0.05)。虽两组发病至开始自救时间、急诊科治疗用时差异无统计学意义(Pgt;0.05)，但医院接诊组用时均低于自行就诊组。结论：院前综合急救护理可以减少脑卒中患者的院前并发症，争取救治时间，对于提高患者存活率，改善存活患者预后情况具有重大作用。 　　【关键词】脑卒中；急救护理；院前抢救； 　　【中图分类号】R47 【文献标识码】B 【文章编号】1003-5028（2015）7-0131-02 　　【Abstract】Objective:To study the importance and clinical effects of pre-hospital emergency nursing care in acute cerebral apoplexy patients.Methods:The 141 acute cerebral apoplexy cases during June 2011 to June 2014 were retrospectively analyzed,based on the type of treatment approaches,the subjects were categorized into hospital-rescue group(79 cases) and self-help group(62 cases). To see a doctor group with normal pre-hospital emergency care measures.Comparison of two groups of patients with pre-hospital complications, mortality, the effect of prognosis and related time metrics.Results①the ratio of breathing disorders and hernia complications in hospital-rescue group were lower than self-treatment group and the difference was statistically significant(Plt;0.05).The difference of mortality,disability as well as the incidence of sequelae（Plt;0.05)between the 2 groups were statistically significant as well②for hospital-rescue group,the beginning time of receive hospital emergency measures,the time to reach hospital were both lower than the self-help group,and the difference was statistically significant（Plt;0.05);Conclusions:Comprehensive pre-hospital emergency care was playing a major role in reducing pre-hospital complications,striving for treatment time,improving the survival and prognosis and of survival of patients in acute stroke patients. 　　【Keywords】Acu