目的:通过回顾性研究我院近3年治疗的脑卒中患者,分析探讨院前急救措施对急性脑卒中患者治疗效果及预后的影响.方法:选取2020年1月至2022年12月280例急性脑卒中患者(出血性卒中114例,缺血性卒中166例),按来院方式分为观察组和对照组,观察组和对照组将患者按疾病类型分为出血组和缺血组,其中观察组196例卒中患者由120急救转运至我院急诊卒中中心,并在来院途中给予吸氧、适度镇静、抬高头位、监测血压、血糖、脱水降颅压以及心电图检查等初步处理,84例对照组患者未经任何院前处理由家属直接送至我院,入院后均按指南进行积极治疗,在治疗过程中,两组都采用美国国立卫生研究院卒中量表及GCS评分表对两组患者预后进行评分分析比较.结果:观察组预后NIHSS(National Institute of Health stroke scale,美国国立卫生研究院卒中量表)评分＜15分占比56.6％、NIHSS评分＞21分占比41.3％、死亡占比2.1％.对照组预后NIHSS评分＜15分占比38.2％、NIHSS评分＞21分占比54.7％、死亡占比7.1％;住院时间观察组为16±7天、对照组为20±8天.结论:科学、有效的院前急救措施在尽快明确脑卒中诊断、及早启动卒中救治、减少医院准备时间有重要价值,同时,可以有效降低急性脑卒中患者病死病残率,缩短住院时间,对于提高抢救成功率及提高患者预后生存治疗起到了至关重要的作用.
Analysis of the Impact of Pre-hospital Emergency Treatment on the Treatment Effect of Stroke Patients
Objective:Through a study on stroke patients treated in our hospital in the past three years,the paper analyzes the impact of pre-hospital emergency measures on the treatment effect and prognosis of acute stroke pa-tients.Methods:A total of 280 acute stroke patients(including114 hemorrhagic stroke patients and 166 ischemic stroke patients)from January 2020 to December 2022 were selected,the patients were divided into an observation group and a control group according to the hospital admission method.Meanwhile,the patents from observation and control group were divided into bleeding group and ischemic group according to disease type.196 stroke pa-tients in the observation group were transferred to the emergency stroke center of our hospital through 120 emer-gency treatment which received preliminary treatment such as oxygen inhalation,moderate sedation,raising the head position,monitoring blood pressure,blood sugar,dehydration,lowering intracranial pressure,and elec-trocardiogram examination on the way to the hospital.In addition,84 control group patients were directly sent to our hospital by their families without any pre-hospital treatment.After admission,both groups received active treatment according to the guidelines.During the treatment process,both groups used the National Institutes of Health Stroke Scale and GCS score to analyze and compare the prognosis of the two groups of patients.Results:The observation group had a good prognosis(NIHSS score＜15 points)accounting for 56.6％,a poor progno-sis,residual severe neurological dysfunction or vegetative state(NIHSS score＞21 points)accounting for 41.3％,and a mortality rate of 2.1％.The control group had a good prognosis(NIHSS score＜15 points)ac-counting for 38.2％,a poor prognosis,residual severe neurological dysfunction or vegetative state(NIHSS score＞21 points)accounting for 54.7％,and a mortality rate of 7.1％.The hospitalization time for the observation group was 16±7 days,and for the control group was 20±8 days.Conclusion:Scientific and effective pre-hos-pital emergency measures are of great value in clarifying the diagnosis of stroke as soon as possible,initiating stroke treatment as quickly as possible,and reducing hospital preparation time.At the same time,it can effective-ly reduce the mortality and disability rate of acute stroke patients,shorten hospitalization time,and play a crucial role in improving the success rate of rescue and improving patient prognosis and survival treatment.
strokepre-hospital emergencyNational Institutes of Health Stroke Scaleprognosis
万方数据
维普
