CAJ | 학술논문

目的：观察总结高血压脑出血患者的院前急救措施，并分析其有效性。方法选取高血压脑出血患者62例，随机均分为观察组和对照组（n=31）。观察组患者均在急救车送至急诊途中接受了医护人员进行的一系列院前急救措施。对照组患者没接受系统的院前急救措施，在家属的陪同下自行送至本院就诊。结果观察组患者接受院前急救措施后，观察组急救成功率（90.32%）显著高于对照组急救成功率（77.42%），差异具有统计学意义（P＜0.05）。观察组的生存能力和肢体功能评分显著高于对照组，差异具有统计学意义（P＜0.05）。结论及时有效的院前急救措施不仅能够节省高血压脑出血患者急救时间，提高急救成功率，挽救患者生命，还可以改善患者预后，降低患者的致死率和致残率，提高患者生活质量。
목적：관찰총결고혈압뇌출혈환자적원전급구조시，병분석기유효성。방법선취고혈압뇌출혈환자62례，수궤균분위관찰조화대조조（n=31）。관찰조환자균재급구차송지급진도중접수료의호인원진행적일계렬원전급구조시。대조조환자몰접수계통적원전급구조시，재가속적배동하자행송지본원취진。결과관찰조환자접수원전급구조시후，관찰조급구성공솔（90.32%）현저고우대조조급구성공솔（77.42%），차이구유통계학의의（P＜0.05）。관찰조적생존능력화지체공능평분현저고우대조조，차이구유통계학의의（P＜0.05）。결론급시유효적원전급구조시불부능구절성고혈압뇌출혈환자급구시간，제고급구성공솔，만구환자생명，환가이개선환자예후，강저환자적치사솔화치잔솔，제고환자생활질량。
Objective To observe Pre-hospital ifrst aid measures on hypertensive cerebral hemorrhage patients and analyze its effectiveness. Methods 62 patients with hypertensive cerebral hemorrhage were selected and randomly divided into observation group and control group(n=31). The patients in observation group accepted a series of ifrst aid measures on the way to the emergency department. Patients in the control group did not accept the system of pre-hospital emergency measures, and went to the hospital for treatment accompanied by their own family members. Results The patients in observation group received prehospital emergency measures and the emergency rescue success rate (90.32%) in observation group was signiifcantly higher than that in control group (77.42%)(P<0.05). The survivability and limb function score in observation group was signiifcantly higher than the control group(P<0.05). Conclusion Timely and effective ifrst-aid measures could not only save time in patients with hypertensive cerebral hemorrhage in emergency, improve the successful rate of ifrst aid, and save the lives of patients, but also can improve the prognosis of patients, reduce patient morbidity and mortality, and improve patient’s living quality.