院前急救对脑卒中患者的救治效果影响分析(1)
[摘要] 目的 探讨院前急救对脑卒中患者的救治效果影响分析。方法 方便选择青岛大学附属医院2014年1月—2015年12月间收治的80例脑卒中患者,按照简单随机表将患者分成观察组及对照组,各40例。对照组患者未采取院前急救,观察组采取院前急救措施。观察两组患者的救治效果。 结果 与对照组患者相比,观察组患者出现呼吸不畅、脑疝、神经功能后遗症以及死亡的发生率更低,差异有统计学意义(P<0.05),观察组患者从呼救到实施院前急救所需时间、从呼救至接受专业治疗所需时间更短,分别为(18.02±8.54)、(30.32±12.21)min,对比分析后,差异有统计学意义(P<0.05)。结论 院前急救可及时救治脑卒中患者,缓解病情,降低并发症,改善预后,具有重要的临床价值。
[关键词] 院前急救;脑卒中;救治效果
[中图分类号] R743.3 [文献标识码] A [文章编号] 1674-0742(2017)01(b)-0088-03
[Abstract] Objective To analyze the effect of pre-hospital care on the emergency effect of patients with stroke. Methods Convenient selection 80 cases of patients with stroke admitted and treated in our hospital from January 2014 to December 2015 were selected as the research objects and randomly divided into two groups with 40 cases in each, the control group did not adopt the pre-hospital care, while the observation group adopted the emergency measures, and the emergency effect of the two groups was observed. Results The incidence rate of disturbance in respiration, cerebral hernia, neurologic sequelae and death in the observation group was lower than that in the control group, and the difference had statistical significance(P<0.05), and the time from calling to the implementation of pre-hospital care and from calling to receiving the professional treatment was shorter, which were respectively(18.02±8.54)min and (30.32±12.21)min, the differences had statistical significance by comparison(P<0.05). Conclusion The pre-hospital care can treat the patients with stroke in time, relieve the disease, reduce the complications and improve the prognosis, which is of important clinical value.
[Key words] Pre-hospital care; Stroke; Emergency effect
脑卒中是一种常见的危急重症疾病之一,主要是由于急性脑循环障碍而造成脑功能缺损[1]。脑卒中患者的残疾率较高,而约70%以上的幸存患者中存在着功能性障碍,有的伴有意识障碍。多数患者的病情危重,发病较急,残疾率以及死亡率均较高[2]。对于脑卒中患者及早采取有效的急救是提高患者救治效果的关键之处。为此,该次研究对2014年1月—2015年12月间收治的80例脑卒中患者采取院前急救,探讨其救治效果,现报道如下。
1 资料与方法
1.1 一般資料
方便选择该院该院收治的80例脑卒中患者。纳入标准如下:①患者均经CT、MRI确诊;②该次研究获得患者及其家属同意后方可进行。排除标准如下:①患者具有其他脑部疾病;②曾出现尿失禁;③患者具有造血系统障碍或者肝脏、肾脏等重要器官损害。在80例患者中,男性43例,女性37例,年龄分布为43~71岁,平均年龄为(56.2±3.2)岁。按照简单随机表法将患者分成观察组及对照组,各40例。在对照组患者中,平均年龄为(56.7±3.5)岁,高血压患者36例,糖尿病15例,冠心病7例,缺血性脑卒中11例,出血性脑卒中29例。在观察组患者中,平均年龄为(55.8±2.9)岁,高血压患者35例,糖尿病18例,冠心病5例,缺血性脑卒中10例,出血性脑卒中30例。对两组患者的年龄、性别等一般资料对比分析后差异无统计学意义(P>0.05),具有可比性。
1.2 方法
对照组患者到达医院后未采取院前急救。观察组患者均采取院前急救措施。急诊医师在接到患者或其家属电话后,需要立即仔细了解疾病史,并立即通知急救车救援患者。了解患者的病史并经过初步诊断后判断为脑卒中时,在电话中需要指导患者进行初步就诊,叮嘱患患者取平卧位,头偏向一侧,将患者的上衣解开,确保患者保持良好的呼吸通道,使患者冷静,等待救援。当救援人员到达后,需要立即检测患者的血压、呼吸、血糖、心率等,观察患者是否出现昏迷、肌力改变等,进一步对患者的病情进行确诊。, 百拇医药(张德佳 王玉华)
[关键词] 院前急救;脑卒中;救治效果
[中图分类号] R743.3 [文献标识码] A [文章编号] 1674-0742(2017)01(b)-0088-03
[Abstract] Objective To analyze the effect of pre-hospital care on the emergency effect of patients with stroke. Methods Convenient selection 80 cases of patients with stroke admitted and treated in our hospital from January 2014 to December 2015 were selected as the research objects and randomly divided into two groups with 40 cases in each, the control group did not adopt the pre-hospital care, while the observation group adopted the emergency measures, and the emergency effect of the two groups was observed. Results The incidence rate of disturbance in respiration, cerebral hernia, neurologic sequelae and death in the observation group was lower than that in the control group, and the difference had statistical significance(P<0.05), and the time from calling to the implementation of pre-hospital care and from calling to receiving the professional treatment was shorter, which were respectively(18.02±8.54)min and (30.32±12.21)min, the differences had statistical significance by comparison(P<0.05). Conclusion The pre-hospital care can treat the patients with stroke in time, relieve the disease, reduce the complications and improve the prognosis, which is of important clinical value.
[Key words] Pre-hospital care; Stroke; Emergency effect
脑卒中是一种常见的危急重症疾病之一,主要是由于急性脑循环障碍而造成脑功能缺损[1]。脑卒中患者的残疾率较高,而约70%以上的幸存患者中存在着功能性障碍,有的伴有意识障碍。多数患者的病情危重,发病较急,残疾率以及死亡率均较高[2]。对于脑卒中患者及早采取有效的急救是提高患者救治效果的关键之处。为此,该次研究对2014年1月—2015年12月间收治的80例脑卒中患者采取院前急救,探讨其救治效果,现报道如下。
1 资料与方法
1.1 一般資料
方便选择该院该院收治的80例脑卒中患者。纳入标准如下:①患者均经CT、MRI确诊;②该次研究获得患者及其家属同意后方可进行。排除标准如下:①患者具有其他脑部疾病;②曾出现尿失禁;③患者具有造血系统障碍或者肝脏、肾脏等重要器官损害。在80例患者中,男性43例,女性37例,年龄分布为43~71岁,平均年龄为(56.2±3.2)岁。按照简单随机表法将患者分成观察组及对照组,各40例。在对照组患者中,平均年龄为(56.7±3.5)岁,高血压患者36例,糖尿病15例,冠心病7例,缺血性脑卒中11例,出血性脑卒中29例。在观察组患者中,平均年龄为(55.8±2.9)岁,高血压患者35例,糖尿病18例,冠心病5例,缺血性脑卒中10例,出血性脑卒中30例。对两组患者的年龄、性别等一般资料对比分析后差异无统计学意义(P>0.05),具有可比性。
1.2 方法
对照组患者到达医院后未采取院前急救。观察组患者均采取院前急救措施。急诊医师在接到患者或其家属电话后,需要立即仔细了解疾病史,并立即通知急救车救援患者。了解患者的病史并经过初步诊断后判断为脑卒中时,在电话中需要指导患者进行初步就诊,叮嘱患患者取平卧位,头偏向一侧,将患者的上衣解开,确保患者保持良好的呼吸通道,使患者冷静,等待救援。当救援人员到达后,需要立即检测患者的血压、呼吸、血糖、心率等,观察患者是否出现昏迷、肌力改变等,进一步对患者的病情进行确诊。, 百拇医药(张德佳 王玉华)