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目的探讨不同院前急救时限对急性脑卒中患者预后的影响。方法选择2012年5月—2015年12月经本院急诊科收治的急性脑卒中患者206例,按来院方式不同分为自救组(n=97)和急救组(n=109),比较两组的救治时间与预后。计量资料比较采用t比较检验,计数资料比较用χ~2检验,P<0.05为差异有统计学意义。结果自救组院外救治时间、急救时间、院内救治时间、入住专科时间[(8.3±1.7)h、(132.3±20.5)、(47.7±8.2)、(178.6±23.6)min]均较急救组[(6.2±1.4)h、(96.8±17.9)、(30.8±10.5)、(131.5±19.0)min]均明显延长,差异均有统计学意义(均P<0.05)。自救组患者呼吸不畅、脑疝及神经功能后遗症、死亡的发生率[42(43.3%)、35(36.1%)、58(59.8%)、27(27.8%)]均明显高于急救组[30(27.5%)、25(22.9%)、43(39.4%)、15(13.7%)],差异均有统计学意义(均P<0.05)。结论缩短院前急救时限可以有效提高急性脑卒中患者的好转率,降低死亡率。
Objective To investigate the effect of different prehospital emergency limits on the prognosis of acute stroke patients. Methods From May 2012 to December 2015, 206 acute stroke patients admitted to our emergency department were divided into self-help group (n = 97) and first aid group (n = 109) Treatment time and prognosis. Comparison of measurement data using t test, the count data were compared using χ ~ 2 test, P <0.05 for the difference was statistically significant. Results Compared with the first aid group [(8.3 ± 1.7) h, (132.3 ± 20.5), (47.7 ± 8.2), (178.6 ± 23.6) min), the rescue time, emergency time, hospital treatment time, 6.2 ± 1.4) h, (96.8 ± 17.9), (30.8 ± 10.5) and (131.5 ± 19.0) min, respectively. All the differences were statistically significant (all P <0.05). Patients in the self-help group had significantly lower rates of respiratory failure, hernia and neurological sequelae, death rates (42 (43.3%), 35 (36.1%), 58 (59.8%), 27 (27.8% 30 (27.5%), 25 (22.9%), 43 (39.4%) and 15 (13.7%), respectively. There were significant differences between the two groups (all P <0.05). Conclusion Shortening the pre-hospital emergency time limit can effectively improve the recovery rate of acute stroke patients and reduce the mortality rate.