首页|亚低温治疗在脑卒中院前急救中的应用

亚低温治疗在脑卒中院前急救中的应用

Application of mild hypothermia therapy in pre-hospital emergency treatment of stroke

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目的:探讨在院前采用亚低温疗法对脑卒中患者脑功能保护的应用效果。方法:选取2022年1月至2022年6月,镇江市急救中心在院前急救现场由急救医师使用G-FAST评分法对患者进行评估,将初步判断为脑卒中的患者送往医院进行救治,最终经过确诊为脑卒中发作的患者85例,其中出血性脑卒中55例,缺血性脑卒中30例;按照数据随机法分为观察组45例和对照组40例。对照组患者接受常规的院前急救措施,观察组患者采用同前常规的院前急救措施外,同时实施亚低温治疗,两组患者在医院确诊脑卒中后继续进行亚低温治疗72小时。比较两组患者在院前和治疗后的美国国立卫生研究院卒中量表评分(NIHSS),格拉斯哥昏迷评分(GCS)和Barthel指数评定量表评分(Bathel)。结果:亚低温治疗72h后观察组患者NIHSS评分、Barthel指数均优于对照组患者,差异均有统计学意义(均 P<0.05)。结论:院前对脑卒中患者开始的亚低温治疗对急性脑卒中能改善脑卒中患者的神经功能的预后。
Objective:To explore the application effect of mild hypothermia therapy before hospitalization on the protection of brain function in stroke patients.Methods:From January 2022 to June 2022, Zhenjiang Emergency Center used the G-FAST scoring method to evaluate the patients at the pre-hospital emergency scene, and send the patients initially judged as stroke to the hospital for treatment. 85 patients were finally diagnosed as stroke attack, including 55 hemorrhagic stroke patients and 30 ischemic stroke patients; the patients were divided into an observation group of 45 cases and a control group of 40 cases according to data randomization. The control group received routine pre-hospital emergency measures, while the observation group received mild hypothermia treatment in addition to the same routine pre-hospital emergency measures. The two groups of patients continued to receive mild hypothermia treatment for 72 hours after being diagnosed with stroke in the hospital. The National Institutes of Health Stroke Scale (NIHSS), Glasgow Coma Scale (GCS), and Barthel Index Rating Scale (Bathel) scores of two groups of patients were compared before and after treatment.Results:After 72 hours of mild hypothermia treatment, the NIHSS score and Barthel index of the observation group patients were better than those of the control group patients, and the differences were statistically significant (all P<0.05).Conclusions:Pre-hospital mild hypothermia treatment for stroke patients can improve the prognosis of neurological function in acute stroke patients.

潘鑫、王忻、王超、顾慧、吴敏、唐加波、崔恒熙、李政

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212003 江苏镇江,镇江市急救中心急救科

212001 江苏镇江,镇江市第一人民医院急诊科

亚低温治疗 脑卒中 院前急救

202镇江市科技创新资金(重点研发计划——社会发展)项目

SH2022103

2023

中华卫生应急电子杂志

中华卫生应急电子杂志

ISSN:
年,卷(期):2023.9(3)
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