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目的探讨院前急救措施对脑出血患者预后的影响。方法选取阳泉市第三人民医院急诊科2010年2月—2016年2月收治的脑出血患者120例,将53例由家属自行送至急诊科者为对照组,67例由急诊医护人员接诊者为观察组。对照组患者于院前未实施任何急救措施,观察组患者于院前采取相关急救措施。随访20 d,比较两组患者发病时、入院时及入院后20 d神经功能缺损评分,并统计比较两组患者病死率及并发症发生情况。结果发病时,两组患者神经功能缺损评分比较,差异无统计学意义(P>0.05);入院时及入院后20 d,观察组患者神经功能缺损评分低于对照组(P<0.05)。观察组患者病死率、并发症发生率低于对照组(P<0.05)。结论系统的院前急救措施可有效改善脑出血患者神经功能缺损程度,降低病死率和并发症发生率,改善患者预后。
Objective To investigate the influence of prehospital emergency measures on the prognosis of patients with intracerebral hemorrhage. Methods A total of 120 patients with ICH admitted to Emergency Department of the Third People ’s Hospital of Yangquan City from February 2010 to February 2016 were selected as the control group, 53 of whom were sent to the emergency department by their relatives as the control group and 67 were treated by the emergency medical staff For the observation group. Control group of patients in the hospital did not implement any emergency measures, observation group patients in the hospital before taking the relevant emergency measures. After 20 days of follow-up, the scores of neurological deficit at onset, admission and 20 days after admission were compared, and the mortality and complications of the two groups were compared statistically. Results At the time of onset, there was no significant difference in neurological deficit score between the two groups (P> 0.05). At the time of admission and 20 d after admission, the score of neurological deficit in the observation group was lower than that of the control group (P <0.05). The mortality of patients in observation group was lower than that in control group (P <0.05). Conclusion The systematic pre-hospital emergency measures can effectively improve the degree of neurological deficits in patients with cerebral hemorrhage, reduce the incidence of mortality and complications, and improve the prognosis of patients.