院前急救护理在急性脑出血患者中的应用及其对预后的影响(1)
 |
| 第1页 |
参见附件(1753KB，2页)。
[摘要] 目的：探讨院前急救护理在急性脑出血患者的应用及对预后的影响。方法：选择120例急性脑出血患者进行研究，其中实施院前急救护理程序的68例患者为观察组，未进行院前急救护理的52例为对照组。比较两组患者接受正规治疗时间、住院期间病死率的差异。并于治疗前及治疗后3个月采用改良Barthel指数评估患者日常生活能力(ADL)，采用FMA运动功能评定肢体运动功能。结果：观察组患者接受正规治疗时间为(46.28±10.35)min，短于对照组[(71.92±19.27)min]，差异有高度统计学意义(P<0.01)；观察组与对照组住院期间病死率分别为10.3%和19.2%，观察组低于对照组，差异有高度统计学意义(P<0.01)；治疗后3个月观察组改良Barthel指数评分及FMA评分优于对照组(P<0.01)。结论：对急性脑出血患者进行院前急救护理程序，有助于减少住院期间死亡率，改善患者预后。
[关键词] 脑出血；院前急救；护理
[中图分类号] R472.2 [文献标识码] B [文章编号] 1673-7210(2011)12(a)-176-02
Application of pre-hospital emergency care in acute cerebral hemorrhage and its influence to prognosis
CHENG Limei, HU Zichun*, LIU Xianling
Department of Emergency, the Fourth Affiliated Hospital of Harbin Medical University, Heilongjiang Province, Harbin 150001, China
[Abstract] Objective: To explore the application of pre-hospital emergency care in acute cerebral hemorrhage and its influence to prognosis. Methods: 120 cases with acute cerebral hemorrhage were randomly divided into control group and observation group. 68 patients of observation group were received pre-hospital emergency care, and 52 cases of control group were not received pre-hospital emergency care. The time of the patients treated after first onset and the mortality during in-hospital period were compared between two groups. MBI and FMA were used to evaluate ADL and extremity motor function before and after treatment. Results: The time of the patients treated after first onset in observation group was significantly shorter than that in control group [(46.28±10.35)min vs (71.92±19.27)min, P<0.01); The mortality during in-hospital period were 10.3% and 19.2% respectively in observation group and control group, and there was a significant difference between them (P<0.01); MBI and FMA in observation group were superior to control group (P<0.01). Conclusion: Application of pre-hospital emergency care in acute cerebral hemorrhage can decrease the mortality during in-hospital period and improve the prognosis of patients.
[Key words] Cerebral hemorrhage; Pre-hospital emergency; Care
脑卒中为神经系统的常见病，目前我国每年因脑卒中死亡的患者例数已经超过了心血管疾病。患者在度过急性期后常留有不同程度的神经功能缺损，严重影响日常生活及生活质量[1]。而脑出血患者的肢体瘫痪程度更为严重，往往超过脑梗死患者。急性脑卒中患者的治疗时间窗为6 h以内 ......
您现在查看是摘要介绍页，详见PDF附件(1753KB，2页)。