CAJ | 학술논문

目的:比较院前急救和自行来院的急性脑血性意外患者的临床资料,提高对院前急救必要性的认识.方法:选择2009年1月-2012年6月经院前急救的120例急性脑血管意外患者作为观察组,该时间段自行来院的90例急性血性意外患者为对照组,对照组由家属或朋友送到医院,均无实施急救措施,观察组急救中心接到120调度后进行电话指导救治、现场抢救、转运与途中处理.结果:两组患者自救反应时间(26.67±12.34)minVS(30.45±11.56)min无显著性差异(P>0.05)、观察组急救时间(40.12±13.56)min、院外救治时间(52.34±14.85)min、住院时间(14.34±5.28)天、住院费用(0.98±0.22)万元小于对照组的(162.56±33.45)min、(162.56±33.45)min、(19.34±6.23)天、(1.22±0.34)万元(P<0.05);观察组死亡3.33%、伤残20.83%也少于对照组的10.00%、37.78%(P<0.05).结论:院前急救能最大程度抢救患者的生命,减少并发症的发生,应重视与加强院前急救与转运工作
목적:비교원전급구화자행래원적급성뇌혈성의외환자적림상자료,제고대원전급구필요성적인식.방법:선택2009년1월-2012년6월경원전급구적120례급성뇌혈관의외환자작위관찰조,해시간단자행래원적90례급성혈성의외환자위대조조,대조조유가속혹붕우송도의원,균무실시급구조시,관찰조급구중심접도120조도후진행전화지도구치、현장창구、전운여도중처리.결과:량조환자자구반응시간(26.67±12.34)minVS(30.45±11.56)min무현저성차이(P>0.05)、관찰조급구시간(40.12±13.56)min、원외구치시간(52.34±14.85)min、주원시간(14.34±5.28)천、주원비용(0.98±0.22)만원소우대조조적(162.56±33.45)min、(162.56±33.45)min、(19.34±6.23)천、(1.22±0.34)만원(P<0.05);관찰조사망3.33%、상잔20.83%야소우대조조적10.00%、37.78%(P<0.05).결론:원전급구능최대정도창구환자적생명,감소병발증적발생,응중시여가강원전급구여전운공작
@@@@Objective:Comparison of prehospital emergency treatment and come to court of the patients with acute cerebral hemorrhagic accident clinical material, improve the understanding of the necessity of prehospital emergency treatment.Methods:Choose iJanuary 2009-June 2012 menstrual of prehospital emergency treatment of 120 cases of acute cerebrovascular accident patients as observation group, this time 90casetcome to hospital acute hemorrhagic accident patients as control group, control group by family members or friends to the hospital, all without first aid measures, observation group received 120 emergency center after dispatching telephone guide treatment, on-site rescue, transport and handling way.Results:Two groups of patients self-help reaction time (26.67±12.34)minVS (30.45±11.56 min has no significant difference (P>0.05), the observation group emergency time (40.12±13.56)min, lobbyists treatment time (52.34±14.85) min, length of hospital stay (14.34±5.28 )days, be in hospital cost (0.98±0.22) ten thousand yuan less than control group (162.56±33.45)min, (162.56±33.45) min and (19.34±6.23) days,(1.22±0.34) ten thousand yuan (P<0.05); Observation group of death 3.33%, disability 20.83% also less than control group10.00%, 37.78% (P< 0.05). Conclusion:Prehospital first aid to the maximum extent save a patient’s life and reduce complications, should pay attention to and strengthen of prehospital emergency treatment and transport work