高血压脑出血患者院前救治的近期预后临床分析
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摘要
目的探讨高血压脑出血患者院前早期干预对预后的影响。方法选取300例高血压脑出血患者,随机分为2组,对照组(n=150)采取院内接受抢救,研究组(n=150)为现场展开救治,包括保持呼吸道畅通、迅速创建静脉通路、给氧、调整降低颅内压、加强院前监测及安全转运等措施,比较2组近期预后。结果研究组抢救有效率明显高于对照组(P<0.05);研究组治疗2个月后,Barthel指数、FMA评分较对照组显著提高,NIHSS评分较对照组明显降低(P<0.05);研究组应激性溃疡、脑疝、呼吸衰竭、气道阻塞以及中枢性高热发生率较对照组明显降低(P<0.05)。结论高血压脑出血患者开展院前救治,缩短了"无治疗期",具有很好的临床效果,临床推广。
Objective To investigate the effect of prehospital intervention on prognosis of hypertensive intracerebral hemorrhage.Methods 300 cases of hypertensive cerebral hemorrhage were randomly divided into two groups,the control for the rescue of patients with hypertensive cerebral hemorrhage were 150 cases,150 cases of the study group to start treatment at the scene,ensure the airway;quickly create venous access;oxygen;reduce intracranial pressure;strengthen prehospital monitoring,safe transport,two the recent prognosis group.Results The prehospital emergency rescue group effective rate in hospital was significantly higher(P<0.05);prehospital group after two months of treatment,Barthel and FMA were in hospital were significantly increased(P<0.05);prehospital group stress ulcer,cerebral hernia,respiratory failure,airway obstruction and central hyperthermia significantly lower the hospital group(P<0.05).Conclusion The hypertensive cerebral hemorrhage patients carries out prehospital treatment,can shorten the "No treatment period",and has good clinical effect and clinical value.
Objective To investigate the effect of prehospital intervention on prognosis of hypertensive intracerebral hemorrhage.Methods 300 cases of hypertensive cerebral hemorrhage were randomly divided into two groups,the control for the rescue of patients with hypertensive cerebral hemorrhage were 150 cases,150 cases of the study group to start treatment at the scene,ensure the airway;quickly create venous access;oxygen;reduce intracranial pressure;strengthen prehospital monitoring,safe transport,two the recent prognosis group.Results The prehospital emergency rescue group effective rate in hospital was significantly higher(P<0.05);prehospital group after two months of treatment,Barthel and FMA were in hospital were significantly increased(P<0.05);prehospital group stress ulcer,cerebral hernia,respiratory failure,airway obstruction and central hyperthermia significantly lower the hospital group(P<0.05).Conclusion The hypertensive cerebral hemorrhage patients carries out prehospital treatment,can shorten the "No treatment period",and has good clinical effect and clinical value.
引文
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