高血压脑出血患者院前急救的近期预后效果

摘要

目的：探讨高血压脑出血患者院前急救的近期预后效果。方法收集2010年1月~2012年1月眉山市人民医院诊治的高血压脑出血患者180例，其中进行院前急救者88例为观察组，未进行院前急救者92例为对照组，给予相应的干预措施，随访1年。观察其干预效果，同时统计其并发症发生情况。结果与对照组比较，观察组t1、t2、t5均短于对照组，差异均有统计学意义(t =12.35、10.17、10.56，均P<0.05)。两组治疗效果比较，观察组基本痊愈率(92.0%)及有效率(97.7%)明显高于对照组(71.7%、77.2%)，无效率(2.3%)低于对照组(22.8%)，差异均有高度统计学意义(均P<0.01)。两组均无死亡病例。观察组生活质量各项评分均高于对照组，差异有统计学意义(t =8.005、10.674、12.348、10.642、12.364、10.547，均P<0.05)。并发症发生情况，观察组中枢性高热发生率(17.0%)、气道阻塞发生率(9.1%)、脑疝发生率(6.8%)，明显低于对照组(40.2%、29.3%、22.8%)，差异均有高度统计学意义(均P<0.01)。结论高血压脑出血院前急救可为其抢救争取黄金时间，明显改善患者的预后，降低并发症的发生情况，且效果明显。%Objective To study the effect of the recent prognosis of pre-hospital emergency for patients with hyperten-sive cerebral hemorrhage. Methods 180 patients with hypertensive cerebral hemorrhage were collected from January 2010 to January 2012 in the People's Hospital of Meishan City, 88 cases of pre-hospital emergency treatment were chosen as observation group, 92 cases of no-pre-hospital emergency treatment were selected as control group, they were given the corresponding intervention measures, followed up for 1 year. The intervention effect and its complica-tions were observed. Results The t1, t2, t5 in observation group were shorter than those in the control group, the differ-ences were statistically significant (t=12.35, 10.17, 10.56, all P<0.05). The basic recovery rate and efficiency rate in observation group (92.0%, 97.7%) were higher than those in control group (71.7%, 77.2%), the ineffective rate (2.3%) was lower than that in control group (22.8%), the differences were statistically significant (all P< 0.01). No death was found in the two groups. The quality of life score of observation group were all higher than those of the control group, the differences were statistically significant (t =8.005, 10.674, 12.348, 10.642, 12.364, 10.547, all P<0.05). The cen-tral high fever occurrence rate (17.0%), the incidence of airway obstruction (9.1%), the incidence of cerebral hernia (6.8%) in observation group were lower than those in the control group (40.2%, 29.3%, 22.8%), the differences were statistically significant (all P< 0.01). Conclusion The hypertension cerebral hemorrhage pre-hospital can save the res-cue for prime time, significantly improve the prognosis of patients, and reduce complications, and the effect is obvious.