中国医药导报
中國醫藥導報
중국의약도보
CHINA MEDICAL HERALD
2014年
16期
67-69
,共3页
高血压脑出血%院前急救%近期预后%效果
高血壓腦齣血%院前急救%近期預後%效果
고혈압뇌출혈%원전급구%근기예후%효과
Hypertensive cerebral hemorrhage%Pre-hospital emergency treatment%Recent prognosis%Effect
目的：探讨高血压脑出血患者院前急救的近期预后效果。方法收集2010年1月~2012年1月眉山市人民医院诊治的高血压脑出血患者180例，其中进行院前急救者88例为观察组，未进行院前急救者92例为对照组，给予相应的干预措施，随访1年。观察其干预效果，同时统计其并发症发生情况。结果与对照组比较，观察组t1、t2、t5均短于对照组，差异均有统计学意义(t =12.35、10.17、10.56，均P<0.05)。两组治疗效果比较，观察组基本痊愈率(92.0%)及有效率(97.7%)明显高于对照组(71.7%、77.2%)，无效率(2.3%)低于对照组(22.8%)，差异均有高度统计学意义(均P<0.01)。两组均无死亡病例。观察组生活质量各项评分均高于对照组，差异有统计学意义(t =8.005、10.674、12.348、10.642、12.364、10.547，均P<0.05)。并发症发生情况，观察组中枢性高热发生率(17.0%)、气道阻塞发生率(9.1%)、脑疝发生率(6.8%)，明显低于对照组(40.2%、29.3%、22.8%)，差异均有高度统计学意义(均P<0.01)。结论高血压脑出血院前急救可为其抢救争取黄金时间，明显改善患者的预后，降低并发症的发生情况，且效果明显。
目的：探討高血壓腦齣血患者院前急救的近期預後效果。方法收集2010年1月~2012年1月眉山市人民醫院診治的高血壓腦齣血患者180例，其中進行院前急救者88例為觀察組，未進行院前急救者92例為對照組，給予相應的榦預措施，隨訪1年。觀察其榦預效果，同時統計其併髮癥髮生情況。結果與對照組比較，觀察組t1、t2、t5均短于對照組，差異均有統計學意義(t =12.35、10.17、10.56，均P<0.05)。兩組治療效果比較，觀察組基本痊愈率(92.0%)及有效率(97.7%)明顯高于對照組(71.7%、77.2%)，無效率(2.3%)低于對照組(22.8%)，差異均有高度統計學意義(均P<0.01)。兩組均無死亡病例。觀察組生活質量各項評分均高于對照組，差異有統計學意義(t =8.005、10.674、12.348、10.642、12.364、10.547，均P<0.05)。併髮癥髮生情況，觀察組中樞性高熱髮生率(17.0%)、氣道阻塞髮生率(9.1%)、腦疝髮生率(6.8%)，明顯低于對照組(40.2%、29.3%、22.8%)，差異均有高度統計學意義(均P<0.01)。結論高血壓腦齣血院前急救可為其搶救爭取黃金時間，明顯改善患者的預後，降低併髮癥的髮生情況，且效果明顯。
목적：탐토고혈압뇌출혈환자원전급구적근기예후효과。방법수집2010년1월~2012년1월미산시인민의원진치적고혈압뇌출혈환자180례，기중진행원전급구자88례위관찰조，미진행원전급구자92례위대조조，급여상응적간예조시，수방1년。관찰기간예효과，동시통계기병발증발생정황。결과여대조조비교，관찰조t1、t2、t5균단우대조조，차이균유통계학의의(t =12.35、10.17、10.56，균P<0.05)。량조치료효과비교，관찰조기본전유솔(92.0%)급유효솔(97.7%)명현고우대조조(71.7%、77.2%)，무효솔(2.3%)저우대조조(22.8%)，차이균유고도통계학의의(균P<0.01)。량조균무사망병례。관찰조생활질량각항평분균고우대조조，차이유통계학의의(t =8.005、10.674、12.348、10.642、12.364、10.547，균P<0.05)。병발증발생정황，관찰조중추성고열발생솔(17.0%)、기도조새발생솔(9.1%)、뇌산발생솔(6.8%)，명현저우대조조(40.2%、29.3%、22.8%)，차이균유고도통계학의의(균P<0.01)。결론고혈압뇌출혈원전급구가위기창구쟁취황금시간，명현개선환자적예후，강저병발증적발생정황，차효과명현。
Objective To study the effect of the recent prognosis of pre-hospital emergency for patients with hyperten-sive cerebral hemorrhage. Methods 180 patients with hypertensive cerebral hemorrhage were collected from January 2010 to January 2012 in the People's Hospital of Meishan City, 88 cases of pre-hospital emergency treatment were chosen as observation group, 92 cases of no-pre-hospital emergency treatment were selected as control group, they were given the corresponding intervention measures, followed up for 1 year. The intervention effect and its complica-tions were observed. Results The t1, t2, t5 in observation group were shorter than those in the control group, the differ-ences were statistically significant (t=12.35, 10.17, 10.56, all P<0.05). The basic recovery rate and efficiency rate in observation group (92.0%, 97.7%) were higher than those in control group (71.7%, 77.2%), the ineffective rate (2.3%) was lower than that in control group (22.8%), the differences were statistically significant (all P< 0.01). No death was found in the two groups. The quality of life score of observation group were all higher than those of the control group, the differences were statistically significant (t =8.005, 10.674, 12.348, 10.642, 12.364, 10.547, all P<0.05). The cen-tral high fever occurrence rate (17.0%), the incidence of airway obstruction (9.1%), the incidence of cerebral hernia (6.8%) in observation group were lower than those in the control group (40.2%, 29.3%, 22.8%), the differences were statistically significant (all P< 0.01). Conclusion The hypertension cerebral hemorrhage pre-hospital can save the res-cue for prime time, significantly improve the prognosis of patients, and reduce complications, and the effect is obvious.
