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目的探讨院前急救对于高血压脑出血患者预后的影响。方法选取2016年2月至2017年2月吉林市急救中心收治的90例高血压脑出血患者作为研究对象,并根据患者是否接受了院前急救分为两组,其中接受院前急救的45例患者作为观察组,没有接受院前急救的45例患者作为对照组,比较两组患者临床疗效、神经功能缺损程度、并发症发生情况、病死率。结果观察组患者的治疗效果明显优于对照组,差异有统计学意义(P<0.05);观察组神经功能缺损程度为轻型患者比例明显高于对照组,差异有统计学意义(P<0.05);观察组患者并发症发生率明显低于对照组,差异有统计学意义(P<0.05);观察组患者的病死率明显低于对照组,差异有统计学意义(P<0.05)。结论对高血压脑出血患者采用院前急救,能够有效改善患者的神经功能缺损程度,降低病死率及并发症发生率,效果显著。
Objective To investigate the influence of prehospital emergency on the prognosis of patients with hypertensive intracerebral hemorrhage. Methods Ninety patients with hypertensive intracerebral hemorrhage admitted from Jilin City Emergency Center from February 2016 to February 2017 were selected as subjects and divided into two groups according to whether they received prehospital emergency treatment or not. Among them, 45 As observation group, there were 45 patients who did not receive pre-hospital first aid as control group. Clinical efficacy, neurological deficit, complication and mortality were compared between the two groups. Results The treatment effect of the observation group was significantly better than that of the control group (P <0.05). The degree of neurological deficit in the observation group was significantly higher than that of the control group (P <0.05) ; The incidence of complications in the observation group was significantly lower than that in the control group, the difference was statistically significant (P <0.05). The mortality of the observation group was significantly lower than that of the control group (P <0.05). Conclusion Prehospital first aid for patients with hypertensive intracerebral hemorrhage can effectively improve the degree of neurological deficits and reduce the incidence of mortality and complications, the effect is significant.