目的 探讨院前急救对急性脑血管病初期的临床疗效.方法 对120例病人随机分为院前组和院内组各60例,比较两组的病情和病死率,院前组采取积极的院前急救措施,并注意院前急救中的护理方法.结果 院前组经正确、有效的急救护理,快速安全转入医院49例,有效率为81.7％,院内组仅为11.7％,两组比较(P＜0.01)；院前组5例在转运途中病情恶化,到院后死亡,占8.3％,院内组为21.6％,两组比较(P＜0.05)；脑疝发生率院前组为6.6％,院内组为25％,两组比较(P＜0.0l)；呼吸道阻塞率院前组为3.3％,院内组为41.7％,两组比较(P＜0.01).结论 正确、及时、有效的院前急救能降低急性脑血管病的病死率,是影响该类疾病发展、转归的重要因素.%Objective To investigate the treatment efficiency of pre-hospital emergency care in the early stage of a-cute cerebral vascular disease. Methods 120 patients were divided into pre-hospital group and hospital group. The pre - hospital group was treated with positive pre-hospital emergency treatment. The condition and the fatality rate were observed. Results The effective rate of pre-hospital group and hospital group were 81. 7% and 11. 7% (P<0. 01). The fatality rate of pre-hospital group and hospital group were 8. 3% and 21. 6% (P<0. 05). The incidence of cerebral hernia of pre-hospital group and hospital group were 6. 6% and 25% (P<0. 01). The incidence of airway obstruction of pre-hospital group and hospital group were 3. 3% and 41. 7% (P<0. 01). Conclusion Correct, timely, effective pre-hospital emergency care can reduce the fatality rate of acute cerebral vascular disease, influencing the development and outcome of disease like that.
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