摘要
目的探讨院前急救措施对急性缺血性脑卒中患者并发症及预后的影响。方法选取2016年3月—2017年6月该院收治的88例急性缺血性脑卒中患者病例,按照是否实施过院前急救措施分为观察组和对照组,观察组42例(由救护车送入该院,实施院前急救措施),对照组46例(由家属自行送入该院,未实施院前急救措施),比较两组患者并发症发生率及治愈、好转、死亡和总有效率等预后指标。结果观察组患者的肺部感染2例(4.8%);中枢性高热15例(35.7%);膀胱及直肠功能障碍4例(9.5%),并发症明显低于对照组的肺部感染6例(13.0%);中枢性高热22例(47.8%);膀胱及直肠功能障碍8例(17.4%),差异有统计学意义(P<0.05);观察组患者的总有效率95.2%显著高于对照组的82.6%,差异有统计学意义(P<0.05);观察组患者的死亡率为2.4%明显低于对照组的10.9%,差异有统计学意义(P<0.05)。结论院前急救措施对急性缺血性脑卒中患者治疗效果良好,不仅可减少患者的并发症,同时降低患者的死亡率,改善预后,具有很好的临床应用价值。
Objective This paper tries to explore the effect of prehospital emergency measures on complications and prognosis of patients with acute ischemic stroke. Methods A total of 88 patients with acute ischemic stroke who were admitted to this hospital between March 2016 and June 2017 were selected and divided into observation group and control group according to whether or not the pre-hospital emergency measures were implemented. The observation group consisted of 42 patients（by ambulance to the hospital, pre-hospital emergency measures were implemented）. 46 patients in the control group（self-family sent to the hospital and no prehospital emergency measures were performed）. Complication rates, cure, improvement, death, and total effective rate, and other prognostic in-dicators were compared between the two groups. Results In the observation group, there were 2 patients with pulmonary infection（4.8%）; 15 patients with central hyperthermia（35.7%）; 4 patients with bladder and rectal dysfunction（9.5%） had significantly lower complications than those of 6 cases in the control group（13.0%）; central hyperthermia in 22 cases（47.8%）; bladder and rectal dysfunc-tion in 8 cases（17.4%）, the difference was statistically significant（P〈0.05）; the total effective rate of 95.2% in the observation group was significantly higher than the control group, the difference was statistically significant（82.6%）（ P〈0.05）. The mortality rate in the observation group was 2.4%, which was significantly lower than that in the control group（10.9%）. The difference was statistically significant（P〈0.05）. Conclusion Pre-hospital emergency measures have a good therapeutic effect on patients with acute ischemic stroke,which can not only reduce the complications of patients, but also reduce the mortality of patients and improve the prognosis. It has good clinical application value.
作者
宫磊
魏玲
赵燕
热娜古丽
王亮
GONG Lei;WEI Ling;ZHAO Yan;Renaguli;WANG Liang(Emergency Department,Xinjiang Armed Police Corps Hospital,Urumqi,Xinjiang,830091 China;Chinese Medicine Hospital of Xinjiang Uygur Autonomous Region,Urumqi,Xinjiang,830000 China)
出处
《世界复合医学》
2018年第2期37-39,共3页
World Journal of Complex Medicine
关键词
院前急救措施
急性缺血性脑卒中
并发症
预后
Prehospital emergency measures
Acute ischemic stroke
Complications
Prognosis
