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目的:探讨院前急救对急性脑出血患者预后的影响和意义。方法:回顾性分析2012年7月-2013年7月经本中心下属7个分站所救治后送入院内的118例(使用EMS组)和未经院前急救自行送入院的82例(未使用EMS组)急性脑出血患者的临床资料,并对其进行临床观察随访30天,比较两组患者的治疗效果和病死率。结果:使用EMS组患者的48 h内的病死率7.6%明显低于未使用EMS组的25.6%(<0.05),但两组48 h-30d的病死率差异无统计学意义(P>0.05)。结论:对急性脑出血患者进行院前急救能明显降低其近期的病死率并有可能改善预后。
Objective: To investigate the effect and significance of prehospital emergency on the prognosis of patients with acute cerebral hemorrhage. Methods: A retrospective analysis was performed on 118 cases (using EMS group) who were treated in 7 substations under the control of 7 sub-centers of our center from July 2012 to July 2013, and 82 cases were sent to hospital without EMS Group) of patients with acute cerebral hemorrhage clinical data, and its clinical observation of 30 days follow-up, the treatment effect and mortality of the two groups were compared. Results: The mortality rate within 48 hours in EMS group was significantly lower than that in non-EMS group (25.6%, <0.05). However, there was no significant difference in mortality rate between 48 h and 30 d (P> 0.05) . CONCLUSIONS: Prehospital care for patients with acute cerebral hemorrhage significantly reduces their near-term mortality and may improve prognosis.