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目的探讨院前急救在急性重症颅脑损伤患者中的应用效果。方法选取南昌急救中心2015年2月—2016年1月收治的急性重症颅脑损伤患者82例,随机分为对照组(n=40)和试验组(n=42)。对照组患者直接由家属或他人送往医院,试验组患者实施院前急救。比较两组患者的急救反应时间、医院反应时间及预后。结果试验组患者急救反应时间及医院反应时间短于对照组(P<0.05)。两组患者良好、轻度残疾、重度残疾、植物生存发生率比较,差异无统计学意义(P>0.05);试验组患者治愈率高于对照组,病死率低于对照组(P<0.05)。结论院前急救在重症颅脑损伤患者中的应用效果良好,可有效缩短急救反应时间和医院反应时间,改善患者预后,提高生存率。
Objective To investigate the effect of prehospital emergency treatment in acute severe head injury patients. Methods Eighty-two acute severe craniocerebral injury patients admitted from Nanchang Emergency Center from February 2015 to January 2016 were randomly divided into control group (n = 40) and experimental group (n = 42). Patients in the control group were directly sent to the hospital by family members or others and patients in the test group were hospitalized for first aid. Emergency response time, hospital response time and prognosis were compared between the two groups. Results The response time of first aid and hospital reaction in trial group were shorter than those in control group (P <0.05). There was no significant difference in the incidence of good, mild disability, severe disability and plant survival between the two groups (P> 0.05). The cure rate of patients in trial group was higher than that of control group, and the mortality was lower than that of control group (P <0.05) . Conclusion Prehospital first aid has a good effect in patients with severe craniocerebral injury, which can shorten the emergency response time and hospital reaction time, improve the prognosis and improve the survival rate.