院前急救在重症高血压出血性脑卒中患者中应用效果.docVIP

院前急救在重症高血压出血性脑卒中患者中应用效果 　　[摘要] 目的 探讨重症高血压出血性脑卒中患者的院前急救策略。 方法 选取我院2012年2月～2015年6月急诊科就医的120例重症高血压出血性脑卒中患者进行回顾性分析。根据是否实施院前急救进行分组，分为干预组与对照组，每组60例。干预组实施院前急救，而对照组则不采取院前急救。比较两组治疗后的肺部感染、误吸、术前时间、治疗效果以及预后情况。 结果 干预组的治疗结果明显好于对照组，且干预组的术前时间明显少于对照组，差异有统计学意义（P0.05）。同时，干预组的肺部感染、误吸等情况明显好于对照组，差异有统计学意义（P0.05）。 结论 对重症高血压出血性脑卒中患者实施院前急救，可有效改善患者肺部感染、误吸、预后等情况，降低死亡率。 　　[关键词] 院前急救；重症高血压出血性脑卒中；预后；死亡率 　　[中图分类号] R743.34 [文献标识码] A [文章编号] 1674-4721（2016）05（b）-0016-03 　　[Abstract] Objective To explore the strategy of pre-hospital emergency for severe hypertension hemorrhagic cerebral apoplexy patients. Methods 120 severe hypertension hemorrhagic cerebral apoplexy patients from February 2012 to June 2015 of emergency department in our hospital were retrospectively analyzed and divided into intervention group and control group according to whether the pre-hospital emergency strategy was conducted.Each group was 60 cases.Patients in intervention group were given pre-hospital emergency，while patients in control group were not given pre-hospital emergency.After treatment，the lung infection，mistake inhalation，preoperative time，treatment effects and prognosis condition between two groups were compared at the same time. Results The treatment effects in intervention group were obvious better than those in control group，the preoperative time in intervention group was obvious less than that in control group，and the difference was statistical significance （P0.05）.At the same time，the lung infection，mistake inhalation in intervention group were obvious better than those in control group，and the difference was statistical significance （P0.05）. Conclusion Conducted pre-hospital emergency strategy for severe hypertension hemorrhagic cerebral apoplexy patients，can effective improve the lung infection，mistake inhalation and prognosis condition of patients，and decrease mortality rate. 　　[Key words] Pre-hospital emergency；Svere hypertension hemorrhagic cerebral apoplexy；Prognosis；Mortality rate 　　重症高血压出血性脑卒中属于一