高血压性脑出血患者院前急诊治疗方案及疗效评估.docVIP

精品论文 参考文献 高血压性脑出血患者院前急诊治疗方案及疗效评估 黄陂区人民医院重症医学科 湖北武汉 430300 【摘 要】目的：为患有高血压性脑出血的患者行以院前急诊治疗（院前诊断、采取急救手段进行现场急救、转送至医院急诊），评估治疗方案的疗效。方法：择取2015年6月--2016年7月前来我院急诊进行高血压性脑出血治疗的患者共50例，作如下分组：25例行以院前急诊治疗的患者归入研究组，其余25例未行以院前急诊治疗的患者归入对照组。对比两组的治疗效果（如死亡率、致残率与抢救成功率）。结果：研究组的致残率与死亡率远远低于对照组，且抢救成功率远远高于对照组，Plt;0.05，统计学有差异。研究组有24例患者预后良好，对照组仅有19例，对比显著，plt;0.05，统计学有差异。结论：在高血压脑出血发生后，患者接受院前急诊治疗，可以有效提高生存质量，致残率与死亡率明显降低，抢救成功率显著提高，临床意义非常积极。 【关键词】院前急诊；高血压性脑出血；治疗方案；疗效评估 Hypertensive cerebral hemorrhage patients with pre-hospital emergency treatment and curative effect evaluation Wu Yunlai （huangpi district peoples hospital of intensive medicine Hubei wuhan 430300） [abstract] objective：for patients with hypertensive cerebral hemorrhage patients with pre-hospital emergency treatment（pre-hospital diagnosis，first aid measures be taken for the scene first aid，transferred to hospital emergency），to evaluate the efficacy of treatment.Methods：will pick on June 6，2015 - July 2016 to come to the hospital emergency treatment for hypertensive cerebral hemorrhage in patients with a total of 50 cases，the group of 25 patients with pre-hospital emergency treatment in routine group，the rest of the 25 cases not line pre-hospital emergency treatment to patients in the control group.Contrast the curative effect of two groups（such as mortality，morbidity and the rescue success rate）.Results：the teams morbidity and mortality rate is much lower than the control group，and the rescue success rate is much higher than the control group，P lt; 0.05，the statistical difference.Group of 24 patients prognosis is good，the control group only 19 cases，of the contrast group（p lt; 0.05，the statistical difference.Conclusions：in patients with hypertension cerebral hemorrhage happens，accept the pre-hospital emergency treatment，can effectively improve the quality of survival，significantly lower morbidity and mortality，the rescue success rate increased significantly，very positive clinical significance. [key words] pre-hospital emergency treat