三位一体急救模式对急性脑卒中救治和预后影响.docVIP

三位一体急救模式对急性脑卒中救治和预后影响 　　[摘要] 目的 探究和讨论“三位一体”急救模式对急性脑卒中救治和预后的临床疗效。方法 方便选取2015年1月―2016年1月长春市绿园区正阳街消防大队正阳急救站收治的140例脑卒中患者作为该次的研究对象。其中经过120急救车送至该院的患者70例作为研究组，自行来院就诊的患者作为对照组。对两组患者发病到入院时间，治疗后神经功能恢复情况，患者治疗后结果及预后进行比较。结果 研究组患者的入院时间平均为（66±12）min，对照组患者的入院时间平均为（109±14）min。两组差异具有统计学意义（P0.05）。在患者治疗一周后，研究组患者神经功能恢复情况明显较对照组好，差异具有统计学意义（P0.05）。研究组患者的预后良好率达61.4%，明显优于对照组（30%），两组差异具有统计学意义（P0.05）。结论 脑卒中患者在发病时采用三位一体的急救模式，对于降低脑卒中病死率和致残率有积极的意义，值得推广使用。 　　[关键词] 脑卒中；急救模式；预后 　　[中图分类号] R743.3 [文献标识码] A [文章编号] 1674-0742（2016）10（b）-0090-03 　　[Abstract] Objective To explore and discuss the trinity emergency mode for the clinical curative effect of treatment and prognosis of acute brain stroke. Methods 140 stroke patients were selected from January 2015 to January 2016 in Zhengyang Street Lvyuan Changchun city fire brigade emergency station were used as the research object， which has been sent to 120 ambulance to the hospital 70 patients as study group， to the hospital of the patients in the control group. The incidence of two groups of patients to the hospital admission time， after treatment， the recovery of neurological function， the results and prognosis of patients after treatment were compared. Results The average time of admission in the study group was （66±12） min， and the average time of admission in the control group was （109±14） min. The difference between the two groups was statistically significant（P0.05）. After one week of treatment， the patients in the study group were significantly better than those in the control group， the difference was statistically significant（P0.05）. The good prognosis rate of the study group was 61.4%， which was significantly better than that of the control group（30%）， and the difference between the two groups was statistically significant（P0.05）. Conclusion In patients with stroke incidence when adopt the trinity of emergency mode， to reduce stroke mortality and morbidity have positive significance， is worth promoting. 　　[Key words] Cerebral apoplexy； Emerg