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目的比较院前急救与院内急救模式对脑出血患者近期预后的影响。方法90例脑出血患者经过院前急救(院前组),86例未经院前急救直接进行院内急救(院内组)。出院时根据GOS评价患者近期预后情况。结果院前组恢复良好53例,死亡12例;院内组分别为37、22例(P均<0.05)。院前组因舌后坠和呕吐分泌物堵塞气道的发生率以及脑水肿、中枢性高热等并发症发生率明显低于院内组(P均<0.05)。结论脑出血患者行院前急救可降低病死率和并发症发生率,提高了治疗效果。
Objective To compare the short-term prognosis of patients with intracerebral hemorrhage by comparing the pre-hospital emergency and hospital emergency modes. Methods Ninety patients with intracerebral hemorrhage underwent emergency care in the hospital (prehospital group) and 86 patients without hospital emergency care (hospital group). Discharge was assessed according to GOS in patients with recent prognosis. Results In the pre-hospital group, 53 cases recovered well and 12 died. The hospital group were 37 and 22 cases (all P <0.05). Pre-hospital group due to tongue fall and vomit secretion occlusion of the airway and brain edema, central fever and other complications was significantly lower than the hospital group (P all <0.05). Conclusion Prehospital first aid can reduce the incidence of mortality and complications and improve the therapeutic effect in patients with cerebral hemorrhage.