摘要
目的探讨出血性脑血管病患者院前急救疗效,为临床急救出血性脑血管病患者提供依据。方法回顾性分析2012-03至2017-07在中山市人民医院急救治疗且临床资料完整的164例出血性脑血管病患者的临床资料,以2012-03至2014-05采用院内急救治疗的患者为对照组(n=82),主要措施包括保持呼吸道通畅、降低颅内压、脱水、降低血压纠正脑缺氧等。以2014-06至2017-07采用院前急救治疗的患者为观察组(n=82),主要措施包括静脉滴注甘露醇降低颅内压、气管插管、控制血压、加强监护等。比较两组临床疗效及生存率等情况。结果 (1)观察组临床疗效情况高于对照组,差异具有统计学意义(Z=-2.798,P=0.005);观察组总有效率高于对照组,差异具有统计学意义(χ~2=5.694,P=0.017)。(2)观察组的生存率为95.12%(78/82)高于对照组的79.27%(65/82),差异具有统计学意义(χ~2=9.229,P=0.002)。结论出血性脑血管病患者在发病后进行院前急救,可有效提高患者的急救成功率,效果显著。
Objective The objective of this study was to investigate the efficacy of emergency treatment for hemorrhagic cerebrovascular disease（HCD）, and to provide clinical basis for patients with HCD. Methods A total of 164 HCD patients with complete clinical data treated in Zhongshan People＇s Hospital from March 2012 to July 2017 were retrospectively analyzed. 82 patients who were given in-hospital emergency treatment from March 2012 to May 2014 were the control group. The main measures included keeping the respiratory tract smooth, reducing the intracranial pressure, dehydration, and lowering blood pressure to correct brain hypoxia. The observation group was provided with pre-hospital emergency treatment from June 2014 to July 2017. The main measures included injecting intravenous mannitol to reduce intracranial pressure, tracheal intubation, controlling blood pressure, and strengthening intensive care. The clinical efficacy and survival rate of the two groups were compared. Results （1） Clinical effect： the effect of the observation group after treatment was better than that of the control group, and the difference was statistically significant（Z=-2.798,P=0.005）. Further comparison showed that the total effective rate of the observation group was significantly higher than that of the control group, and the difference was statistically significant（χ~2=5.694, P=0.017）.（2） Survival rate： the survival rate of the observation group after treatment was 95.12%（78/82）, which was higher than that of the control group 79.27%（65/82）, and the difference was statistically significant（χ~2=9.229, P=0.002）. Conclusions Pre-hospital first aid can effectively improve the success rate of rescue for patients with HCD, and its effect is remarkable.
作者
张洁
ZHANG Jie(Department of Emergency,People＇s Hospital of Zhongshan City,Zhongshan 528400,China)
出处
《中华灾害救援医学》
2018年第6期310-312,共3页
Chinese Journal of Disaster Medicine
关键词
出血性脑血管病
院前急救
急诊抢救
生存率
hemorrhagic cerebrovascular disease
prehospital care
emergency rescue
survival rate
