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选择本院2014年4月~2015年10月期间“120急救”接诊的脑卒中患者共108例作为研究对象,随机分为研究组和对照组。对照组患者给予常规的急救护理,而研究组患者则给予改进的院前急救护理路径。观察并记录两组患者从呼救到转入医院的时间以及在院接受治疗的时间差异,比较两组急救护理方法下的致残率和病死率。研究组患者从呼救到转入医院时间(15.76±2.27)min,而在院接受治疗的时间(38.18±7.45)min,均显著短于对照组(29.76±5.32)min、(65.43±10.72)min;并且,研究组的致残率23.64%(13/55),病死率5.45%(3/55),也显著低于对照组54.72%(29/53)、15.09%(8/53),两组间差异比较均具有统计学意义(P<0.05)。改进后的院前急救护理路径能为患者赢取最佳抢救时间,使患者尽快接受抢救,一定程度上降低了脑卒中患者的致残率与死亡率,具有显著的应用价值,值得在临床上推广使用。
A total of 108 stroke patients admitted to our hospital from April 2014 to October 2015 were enrolled in this study. They were randomly divided into study group and control group. Patients in the control group were given regular emergency care while patients in the study group were given an improved prehospital emergency care route. Observe and record the two groups of patients from the call for help to the hospital time and hospital treatment time differences between the two groups of emergency care method compared the morbidity and mortality. Patients in the study group were significantly shorter than those in the control group (29.76 ± 5.32) min and (65.43 ± 10.72) min, respectively, from call for help to hospital admission (15.76 ± 2.27) min and hospital stay (38.18 ± 7.45) min . The morbidity rate of the study group was 23.64% (13/55) and the case fatality rate was 5.45% (3/55), which was also significantly lower than that of the control group (54.72%, 15.09%, 8/53) The differences between groups were statistically significant (P <0.05). The improved prehospital emergency care path can win the best rescue time for the patients and make the patients receive the rescue as soon as possible, reducing the morbidity and mortality of stroke patients to a certain extent, which is of great value in clinical application Promote use.