夏志宇

[摘要]目的 探讨急诊内科优质急救措施在脑出血患者中的应用效果。方法 选取我院2015年2月～2016年1月收治的60例急诊内科脑出血患者进行回顾性分析，按照急救方案分为观察组（30例）与对照组（30例），对照组行常规急诊内科措施，观察组行优质急救措施，比较两组患者的临床效果。结果 观察组患者的抢救成功率（96.67%）高于对照组的抢救成功率（76.67%）；观察组治疗后的神经功能缺损评分[（7.13±1.23）分]、死亡率（3.33%）低于对照组治疗后的神经功能缺损评分[（10.66±1.54）分]、死亡率（23.33%），差异有统计学意义（P<0.05）。结论 对急诊内科的脑出血患者实施优质急救措施干预，优化流程，对其生命体征进行监测，判断其意识状态，建立静脉、呼吸通道，对于控制患者血压、脑水肿情况具有积极意义，以此提高患者的抢救成功率，保证其生命安全，值得在临床中推广实施。

[关键词]脑出血；急诊内科；临床价值；急救措施；评估分析

[中图分类号] R473.5 [文献标识码] A [文章编号] 1674-4721（2018）5（a）-0061-03

[Abstract]Objective To investigate the effect of high-quality first-aid measures in emergency internal medicine in patients with cerebral hemorrhage.Methods A retrospective analysis was performed on 60 patients with cerebral hemorrhage in emergency internal medicine admitted to our hospital from February 2015 to January 2016.According to different first aid protocols，they were divided into observation group （n=30） and control group （n=30）.In the control group，conventional measure in emergency internal medicine department was used，while in the observation group，high-quality first-aid measure was adopted.The clinical effect of the two groups was compared.Results The rescue success rate of the observation group （96.67%） was higher than that of the control group （76.67%）.The neurological deficit score （[7.13±1.23] points） and mortality （3.33%） after treatment in the observation group were lower than those in the control group （[10.66±1.54] points，23.33%），the differences were statistically significant （P<0.05）.Conclusion The implementation of high-quality first-aid intervention in patients with cerebral hemorrhage in emergency optimizes procedures，monitors their vital signs，judges their consciousness，establishes venous and respiratory pathways，which plays positive significance in controlling the blood pressure and encephaledema，thus increasing the rescue success rate and ensuring the life safety，and is worth promoting in the clinical practice.

[Key words]Cerebral hemorrhage；Emergency internal medicine department；Clinical value；First-aid measures；Assessment and analysis

腦出血为临床中常见的心脑血管疾病，其中老年人群为高发人群，主要表现为脑血管破裂致使的出血现象，其发病急、病情危重为脑出血常见的临床症状，若未对脑出血患者实施及时、科学的治疗，将导致患者意识丧失，甚至危及生命[1]。本研究选取我院收治的60例急诊内科脑出血患者作为研究对象进行回顾性分析，对其实施不同急救措施方案干预下的效果进行对比，并分析其临床体征情况，旨在探讨脑出血患者在急诊内科急救措施的临床价值评估，现报道如下。

1资料与方法

1.1一般资料

选取我院2015年2月～2016年1月收治的60例急诊内科脑出血患者作为研究对象进行回顾性分析，将其按照急救方案分为对照组和观察组，每组各30例。观察组男19例，女11例；年龄46～76岁，平均（59.61±10.27）岁；其中包括基底节区出血患者11例，脑叶出血患者10例，脑干出血患者6例及小脑出血患者3例；……