刀院东

[摘要] 目的 探究高血压性脑出血患者院前急诊的治疗效果。方法 方便选取该院2016年4月—2019年4月收治的40例高血压性脑出血患者，按照患者是否采取院前急诊治疗作为判断依据，将患者随机划分为实验组与对照组，每组患者各20例。对照组患者在送至医院之前没有开展紧急治疗模式，实验组患者在送至医院前，采取了正确的院前急诊抢救模式。比较两组患者抢救成功率、致残率和病死率。结果 根据该次研究结果显示，实验组的抢救成功率（90.00%）和高于对照组（60.00%），两组比较差异有统计学意义（χ2=4.800，P=0.028）。实验组的总有效率（95.00%）远高于对照组（50.00%），两组比较差异有统计学意义（χ2=10.157，P=0.001）。结论 高血压性脑出血作为突发性疾病，如果能够正确采用院前急诊治疗，能够为患者赢得更多宝贵的治疗时机，有效降低致残率和致死率。

[关键词] 高血压性脑出血;院前急诊治疗;疗效

[中图分类号] R743          [文献标识码] A          [文章编号] 1674-0742（2020）06（a）-0043-03

Efficacy Analysis of Pre-hospital Emergency Treatment for Patients with Hypertensive Cerebral Hemorrhage

DAO Yuan-dong

Department of Emergency Medicine， People's Hospital of Xinping Yi and Dong Autonomous County， Yuxi， Yunnan Province， 653499 China

[Abstract] Objective To explore the effect of pre-hospital emergency treatment on patients with hypertensive cerebral hemorrhage. Methods Forty patients with hypertensive cerebral hemorrhage treated in the hospital from April 2016 to April 2019 were conveniently selected. According to whether the patients were treated with pre-hospital emergency treatment， the patients were randomly divided into experience group and control group. Each group 20 patients each. Patients in the control group did not develop an emergency treatment mode before being sent to the hospital. Patients in the experience group adopted the correct pre-hospital emergency rescue mode before being sent to the hospital. The rescue success rate， disability rate and mortality rate were compared between the two groups. Results According to the results of this study， the rescue success rate （90.00%） in the experimental group was higher than that in the control group （60.00%）， the difference was statistically significant（χ2=4.800，P=0.028）. The total effective rate of the experimental group （95.00%） was much higher than that of the control group （50.00%），the difference was statistically significant （χ2=10.157，P=0.001）. Conclusion Hypertensive intracerebral hemorrhage is a sudden-onset disease. If the pre-hospital emergency treatment can be correctly adopted， it can win more valuable treatment opportunities for patients， effectively reduce the disability and mortality.

[Key words] Hypertensive cerebral hemorrhage; Pre-hospital emergency treatment; Efficacy observation

高血壓性脑出血主要是患者在剧烈运动、情绪激动、用力排便时发病，往往在15 min至几个小时内发展到病情高峰，多表现为头痛剧烈、恶心呕吐、昏迷、意识不清等症状[1-2]。由于高血压性脑出血具有发病急、病死率高、致残率高的特点，已经成为严重威胁我国中老年群体的疾病。经过研究表明，采取正确的院前急诊治疗能够显著提高高血压性脑出血患者的整体治疗水平，减少患者痛苦，降低致残率和致死率，确保患者术后快速恢复健康[3-5]。该院方便选取2016年4月—2019年4月收治的40例高血压性脑出血患者，按照是否实施院前急诊治疗作为判断标准，现报道如下。……