中国医药指南
中國醫藥指南
중국의약지남
CHINA MEDICINE GUIDE
2015年
8期
7-8
,共2页
急救措施%急诊科急救医疗服务%脑血管意外%格拉斯哥预后评分
急救措施%急診科急救醫療服務%腦血管意外%格拉斯哥預後評分
급구조시%급진과급구의료복무%뇌혈관의외%격랍사가예후평분
First aid measures%The emergency ifrst aid medical services%Cerebrovascular accident%Glasgow prognostic score
目的:探讨应用院前急救评价方法抢救106例脑卒中患者的接诊流程与护理急救措施的效果,以提升危重脑卒中的急诊急救水平。方法回顾性分析急救中心2009年6月至2013年6月急诊科106例脑血管意外患者的急救资料。分为实验组58例,对照组48例。实验组采用急救诊断主要根据9项评估指标(体格检查、脉搏、血压、呼吸频率、血氧饱和度、体温、意识状态、心电图检查、血糖测定)以及患者病史、临床症状、体征并联合格拉斯哥昏迷(GCS)评分做出。对照组急救诊断主要依据病史、症状、体征做出。统计出现场确诊的例数、现场救治成功以及临床死亡例数;患者转运成功及转运成功后死亡的例数;急救重症科后续抢救成功及其死亡的例数。结果实验组现场明确诊断54例(占93.1%),对照组现场明确诊断28例(占58.3%),两组比较差异有统计学意义(P<0.05)。实验组现场急救成功率、转运成功率、急诊科延续抢救成功率均明显高于对照组,差异有统计学意义(P<0.05)。结论实验组在发病现场就有了明确的急救诊断,尽快进入了标准化治疗过程,及时有效地把患者转运到就近医院并在急诊科得到安全的后续治疗,及时准确地护送到ICU或专科重症病房,极大地减少了患者的病死率,可能会提高早期救治率。
目的:探討應用院前急救評價方法搶救106例腦卒中患者的接診流程與護理急救措施的效果,以提升危重腦卒中的急診急救水平。方法迴顧性分析急救中心2009年6月至2013年6月急診科106例腦血管意外患者的急救資料。分為實驗組58例,對照組48例。實驗組採用急救診斷主要根據9項評估指標(體格檢查、脈搏、血壓、呼吸頻率、血氧飽和度、體溫、意識狀態、心電圖檢查、血糖測定)以及患者病史、臨床癥狀、體徵併聯閤格拉斯哥昏迷(GCS)評分做齣。對照組急救診斷主要依據病史、癥狀、體徵做齣。統計齣現場確診的例數、現場救治成功以及臨床死亡例數;患者轉運成功及轉運成功後死亡的例數;急救重癥科後續搶救成功及其死亡的例數。結果實驗組現場明確診斷54例(佔93.1%),對照組現場明確診斷28例(佔58.3%),兩組比較差異有統計學意義(P<0.05)。實驗組現場急救成功率、轉運成功率、急診科延續搶救成功率均明顯高于對照組,差異有統計學意義(P<0.05)。結論實驗組在髮病現場就有瞭明確的急救診斷,儘快進入瞭標準化治療過程,及時有效地把患者轉運到就近醫院併在急診科得到安全的後續治療,及時準確地護送到ICU或專科重癥病房,極大地減少瞭患者的病死率,可能會提高早期救治率。
목적:탐토응용원전급구평개방법창구106례뇌졸중환자적접진류정여호리급구조시적효과,이제승위중뇌졸중적급진급구수평。방법회고성분석급구중심2009년6월지2013년6월급진과106례뇌혈관의외환자적급구자료。분위실험조58례,대조조48례。실험조채용급구진단주요근거9항평고지표(체격검사、맥박、혈압、호흡빈솔、혈양포화도、체온、의식상태、심전도검사、혈당측정)이급환자병사、림상증상、체정병연합격랍사가혼미(GCS)평분주출。대조조급구진단주요의거병사、증상、체정주출。통계출현장학진적례수、현장구치성공이급림상사망례수;환자전운성공급전운성공후사망적례수;급구중증과후속창구성공급기사망적례수。결과실험조현장명학진단54례(점93.1%),대조조현장명학진단28례(점58.3%),량조비교차이유통계학의의(P<0.05)。실험조현장급구성공솔、전운성공솔、급진과연속창구성공솔균명현고우대조조,차이유통계학의의(P<0.05)。결론실험조재발병현장취유료명학적급구진단,진쾌진입료표준화치료과정,급시유효지파환자전운도취근의원병재급진과득도안전적후속치료,급시준학지호송도ICU혹전과중증병방,겁대지감소료환자적병사솔,가능회제고조기구치솔。
Objective To study the application of evaluation method of the rescue of 106 cases of cerebral apoplexy patients accepts processes and the effect of emergency nursing measures, to enhance the level of critical stroke of emergency ifrst aid.Methods Retrospective analysis from June 2009 to June 2013 emergency department emergency data of 106 patients with cerebrovascular accident. Divided into the experimental group, 58 cases, control group of 48 cases. Group emergency diagnosis mainly based on eight evaluation index(blood pressure, pulse, respiration, body temperature, blood oxygen saturation, consciousness, electrocardiogram, blood sugar)and medical history, symptoms, signs and Glasgow coma score(GCS). Control emergency diagnosis is mainly based on medical history, symptoms and signs. Statistical diagnosis cases, on-site ifrst-aid success and the number of cases of death; Transfer success and the number of cases of death; The emergency department and death cases of successful rescue.Results The experimental site diagnosis 54 cases(93.1%)and control group in the diagnosis of 28 cases (58.3%), is similar between the two groups was statistically signiifcant(P<0.05). Experimental group on-site ifrst-aid success rate of the success rate, transshipment, emergency department continued rescue success rate were signiifcantly higher than that of control group, the difference was statistically signiifcant(P<0.05).Conclusion The experimental group in the ifeld has been clear about the emergency diagnosis as soon as possible, as soon as possible into the standardized treatment, timely and safe transfer the patient to the hospital and get effective follow-up treatment in the emergency department, security escort or junior to the ICU ward, greatly reduce the case fatality rate of patients, may increase the rate of early treatment.