CAJ | 학술논문

目的：探讨院前－院内一体化急救护理程序在急性脑出血患者救治中的应用效果。方法将2011年6月～2014年6月实施出诊指导－现场急救－转运急救－院内急救一体化急救护理程序的180例急性脑出血患者设为观察组，同期选择由家属护送入院的120例急性脑出血患者设为对照组。比较两组患者有效救治时间及并发症发生情况的差异。结果观察组患者有效救治时间为（0．87±0．19）h，对照组为（1．26±0．35）h；观察组患者并发症发生率均低于对照组，两组比较，差异均有统计学意义（P＜0．05）。结论对急性脑出血患者实施院前－院内一体化急救护理程序可使患者得到有效救治，降低并发症发生率，改善患者预后，进而提高患者生存率。
목적：탐토원전－원내일체화급구호리정서재급성뇌출혈환자구치중적응용효과。방법장2011년6월～2014년6월실시출진지도－현장급구－전운급구－원내급구일체화급구호리정서적180례급성뇌출혈환자설위관찰조，동기선택유가속호송입원적120례급성뇌출혈환자설위대조조。비교량조환자유효구치시간급병발증발생정황적차이。결과관찰조환자유효구치시간위（0．87±0．19）h，대조조위（1．26±0．35）h；관찰조환자병발증발생솔균저우대조조，량조비교，차이균유통계학의의（P＜0．05）。결론대급성뇌출혈환자실시원전－원내일체화급구호리정서가사환자득도유효구치，강저병발증발생솔，개선환자예후，진이제고환자생존솔。
Objective To explore the effect of emergency pre-hospital care intervention procedures on patients with acute cerebral hemorrhage treatment. Methods One hundred and eighty patients with acute cerebral hemorrhage rescued in the ambulance of our hospital from June 2011 to June 2014 were selected as the observation group , and another 120 patients of acute cerebral hemorrhage escorted by family members to our hospital during the same period were set as a control group. The patients in the observation group were given guidance nursing, on-site emergency care, emergency care and hospital transit emergency care, and the patients in the control group were given rescue in the hospital. The two groups were compared in terms of effective transit time. Results The effective transit time for the patients in the observation group was (0.87 ± 0.19)h, significantly shorter than the control group (1.26 ± 0.35) h (P<0.05). The complication rate in the observation group was 22.22%, significantly lower than that of the control group (54.17%) (P<0.05). Conclusion Pre-hospital emergency care intervention for patients with acute cerebral hemorrhage can effectively shorten transit time, reduce complications and improve outcome and improve survival, worthy of promotion.