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目的:探讨院外急救及就诊时间对急性缺血性卒中患者预后的影响。方法:选取我院由急诊收治且已确诊的急性缺血性卒中患者300例,观察组为“120”接诊院外急救患者180例,对照组为未行院外急救自行就诊患者120例,对2组就诊时间、预后进行统计学分析。结果:观察组救治有效率明显高于对照组(P<0.05)。2组患者在发病后6h内、6~24h就诊的救治有效率比较,差异均有统计学意义(P<0.05),但2组24h后就诊患者的救治有效率比较,差异无统计学意义(P>0.05)。各组内不同就诊时间的救治有效率比较,差异均有统计学意义(P<0.05)。结论:早期就诊或尽早启动医疗急救系统(EMS)使院外急诊急救早期介入,对改善急性缺血性卒中患者的预后有重要意义,要加强院外急救的宣传非常必要。
Objective: To investigate the impact of first aid and visiting time on the prognosis of acute ischemic stroke patients. Methods: A total of 300 acute ischemic stroke patients admitted to our hospital from emergency department and diagnosed were selected. The observation group consisted of 180 emergency patients with “120 ” admissions, and 120 patients with self - The two groups of treatment time, prognosis for statistical analysis. Results: The effective rate of treatment in observation group was significantly higher than that in control group (P <0.05). There were significant differences in the effective rate of treatment between 6 and 24 h after operation (P <0.05), but there was no significant difference between the two groups in the efficiency of treatment after 6 h P> 0.05). The treatment efficiency of different treatment time within each group was significantly different (P <0.05). Conclusion: Early treatment or early start-up of the medical emergency system (EMS) makes ambulatory emergency intervention early intervention is of great significance to improve the prognosis of patients with acute ischemic stroke. It is necessary to strengthen the publicity of first aid out of hospital.