【摘要】目的　探究对高血压性脑出血患者进行院前急诊治疗的治疗效果。方法 选取我院于2012年6月～2014年6月期间收治的高血压性脑出血患者88例，其中患者发病后进行院前急诊治疗的44例患者为观察组，未进行院前急诊治疗的患者44例为对照组。对照组的患者在发病后由120接诊并进行院前急诊治疗，对照组未进行，比较两组患者入院后的康复情况。结果　观察组患者的有效率为93.18%，死亡率为2.27%；对照组患者的有效率为68.18%，死亡率为6.82%。二者相比，差异具有统计学意义（P < 0.05）。结论 对高血压性脑出血患者进行适当的院前急诊治疗能提高患者的临床治疗有效率，降低患者的死亡率。

doi:10.3969/j.issn.1674-9316.2015.14.033

作者单位：116044 大连医科大学附属第二医院急诊科

通讯作者：刘宇飞，E-mail：l_yf2013@163.com

Emergency Pre-hospital Treatment Effect Analysis in Hypertensive Intracerebral Hemorrhage

YANG Chuwei LIU Hui Department of Emergency，the Second Affiliated Hospital of Dalian Medical University，Dalian 116044，China

【Abstract】Objective This paper explored hypertensive intracerebral hemorrhage patients were treated in emergency pre-hospital treatment. Methods Admitted to our hospital in June 2014 to June 2012 period，88 cases with hypertensive cerebral hemorrhage，which were after the onset of pre-hospital emergency treatment of 44 patients in the observation group，had not carried out the pre-hospital emergency care patients 44 cases of the control group. Patients in the control group after the onset of pre-hospital admissions and emergency treatment by 120，the control group was not performed. Rehabilitation of patients after admission were compared. Results Effective rate of 93.18% of patients in the observation group，the mortality rate was 2.27%，control group，the effective rate of 68.18% of patients，the mortality rate was 6.82%. Compared to the two，differences were significant，with statistical significance（P < 0.05）. Conclusion Pre-hypertensive intracerebral hemorrhage patients appropriate hospital emergency treatment can improve the patient's clinical effectiveness and reduce mortality.

【Key words】 Hypertensive intracerebral hemorrhage，Pre-hospital emergency treatment，Treatment effect

高血压性脑出血是指因长期的高血压和脑动脉硬化使脑内小动脉因发生病理性的改变而破裂出血 ［1］。在各种非损伤性脑出血的病因中，高血压脑出血占60%左右，它是高血压病中最严重的并发症之一 ［2］，多见于50～60岁的患者，男性发病率高于女性。出血前多无预兆，50%的患者出现头痛并很剧烈，常见呕吐、出血后血压升高。临床症状常在数分钟至数小时达到高峰，临床症状体征因出血部位及出血量不同而异，基底节、丘脑与内囊出血引起轻偏瘫是常见的早期症状；约10%的病例出现痫性发作，常为局灶性；重症者迅速转入意识模糊或昏迷 ［3］。本文主要探究高血压性脑出血患者院前急诊治疗的效果，现报道如下。

1　资料与方法

1.1　一般资料

选取我院于2012年6月～2014年6月期间收治的高血压性脑出血患者88例，其中男性患者52例，女性患者36例，患者年龄43～76岁，平均年龄为（55.7±6.2）岁。……