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目的分析院前急救对高血压脑出血患者治疗及预后的影响,探讨规范化的院前急救流程,从而提示规范化的院前急救能够为降低患者病残率、病死率,为提高患者的生存质量提供必要的先决条件。方法回顾分析我院自2005年2月-2011年2月急诊来院的高血压脑出血患者239例的临床资料,其中由我院院前科出诊接入的患者145例,自行来院的患者94例。结果院前急救时间(10.14±1.32)min,死亡2例、窒息5例、血压平稳121例;自行来院时间(23.51±2.84)min,死亡14例、窒息28例、血压平稳0例;自行来院组患者在发病后至抢救介入时间与院前急救组对比,差异有统计学意义(P<0.05);在血压的平稳性、窒息发生率及病死率方面与院前急救组对比,差异有统计学意义(P<0.01)。结论完善的“120”制度、严格培训的医护人员、规范化的院前抢救流程是抢救高血压脑出血患者成功的关键。
Objective To analyze the influence of prehospital emergency care on the treatment and prognosis of patients with hypertensive intracerebral hemorrhage and to discuss the standardized prehospital emergency procedure, which indicates that standardized prehospital emergency treatment can provide the opportunity for reducing the morbidity and mortality of patients and improving the patients’ quality of life Necessary preconditions. Methods The clinical data of 239 patients with hypertensive intracerebral hemorrhage admitted to our hospital from February 2005 to February 2011 were retrospectively analyzed. Among them, 145 patients were interviewed by our department and 94 patients were self-hospitalized. Results The pre-hospital emergency time (10.14 ± 1.32) min, death in 2, asphyxia in 5 and stable blood pressure in 121 patients; self-hospital time (23.51 ± 2.84) min, 14 deaths, 28 asphyxia and 0 stable blood pressure; Compared with pre-hospital first-aid group, the difference of the interventional time between the two groups was significant (P <0.05). There was statistical significance in the stability of blood pressure, the incidence of asphyxia and the case fatality rate Significance (P <0.01). Conclusion The perfect “120” system, strict training of medical staff, standardized pre-hospital rescue process is the key to the success of patients with hypertensive intracerebral hemorrhage.