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目的探讨脑卒中院前急救的方法及价值。方法收集2014年1月~2015年1月诊断为脑卒中的患者100名,按患者入院方式分为:50例研究组(120医生从病人家中接病人到医院急诊科)和50例对照组(由患者家属送至医院)。对比1研究组和对照组治疗前血压水平。2研究组和对照组治疗前及治疗后格拉斯昏迷评分。3研究组和对照组死亡率及残疾率。结果 1研究组和对照组治疗前收缩压、舒张压结果比较无差异(P>0.05);研究和对照组就诊时间结果比较有差异(P<0.05)。2研究组和对照组治疗前格拉斯昏迷评分结果比较无差异(P>0.05);研究组和对照组治疗后格拉斯昏迷评分结果比较有差异(P<0.05)。3研究组和对照组死亡率及残疾率分别为(2%、8%)、(8%、24%),结果比较有差异(P<0.05)。结论本次研究认为院前急救能够改善脑卒中患者预后,减少死亡率及残疾率。
Objective To explore the method and value of prehospital emergency care in stroke. Methods A total of 100 patients diagnosed as stroke from January 2014 to January 2015 were enrolled and divided into 50 study groups (120 doctors from the patient’s home to the hospital emergency department) and 50 control subjects ( Sent by the patient’s family to the hospital). Compare the pre-treatment BP levels in the study and control groups. 2 Study group and control group before and after treatment, Grasse coma score. 3 Study group and control group Mortality and disability rates. Results 1 There was no difference in systolic blood pressure and diastolic blood pressure between the two groups before and after treatment (P> 0.05). There was significant difference between the two groups in the time of treatment (P <0.05). There was no difference between the two groups (P> 0.05). The Grascon coma scores of the study group and the control group were significantly different after treatment (P <0.05). The mortality rate and the disability rate of the study group and the control group were (2%, 8%), (8%, 24%), respectively. The results were quite different (P <0.05). Conclusion This study suggests that pre-hospital first aid can improve the prognosis of stroke patients and reduce the mortality and disability rate.