The clinical effect of pre-hospital emergency and in-hospital emergency in the treatment of patients with hypertensive cerebral hemorrhage
院前急救与院内急救在高血压脑出血患者救治中的临床效果

摘要

目的：将院前急救在当前高血压脑出血患者救治中的临床效果进行重点分析。 方法:本次研究采用回顾性分析的方式进行，研究时间为2017年7月至2019年5月，研究对象为鹤壁市中医院院前院内这一时期收治的高血压脑出血患者共120例，在救治过程中，60例患者并未实施院前急救，在发病过程中由患者家属直接送入急诊科进行院内急救，将该组患者作为对照组与另外60例在救治过程中实施院前急救的患者进行对比，将后者作为观察组，对比两组患者在接受救治过程中的急救反应时间、临床疗效以及并发症发生几率。 结果：经过对比后发现，观察组患者的发病至到达急诊室时间、急诊科室初步处理时间、特殊检查时间、专科确诊治疗时间以及发病后至送达专科得到确切治疗时间各项数据均短于对照组，差异符合统计学意义的评判标准（P＜0.05）；观察组患者治疗疗效为98.33%，对照组患者治疗疗效为83.33%，观察组治疗疗效明显高于对照组，差异符合统计学意义的评判标准（P＜0.05）；观察组患者的并发症发生几率为11.66%，对照组患者的并发症发生几率为23.33%，观察组明显低于对照组，差异符合统计学意义的评判标准（P＜0.05）。结论:在高血压脑出血患者的急救过程中采取院前急救的方式可以有效地提高患者的治疗效果，减少并发症的发生几率，值得临床推广及应用。

Abstract

Objective: To analyze the clinical effect of pre-hospital emergency treatment in the current treatment of patients with hypertensive cerebral hemorrhage.
Methods: This study was conducted in a retrospective analysis. The study period was from July 2017 to May 2019. The subjects were 120 patients with hypertensive cerebral hemorrhage admitted to hebi Hospital of Traditional Chinese Medicine during this period. During the treatment, Sixty patients did not receive pre-hospital emergency care. During the onset, their family members were directly sent to the emergency department for in-hospital emergency care. This group of patients was used as a control group to compare with the other 60 patients who received pre-hospital emergency care during the treatment. The latter was used as the observation group to compare the emergency response time, clinical efficacy and the incidence of complications of the two groups of patients during the treatment.
Results: After comparison, it was found that the time from onset to arrival in the emergency room, initial treatment time in emergency department, special examination time, specialist diagnosis treatment time, and the time from onset to delivery to the specialist department for exact treatment of patients in the observation group were shorter than the control Group, the difference meets the criteria of statistical significance (P<0.05); the treatment effect of patients in the observation group is 98.33%, the treatment effect of patients in the control group is 83.33%, the treatment effect of the observation group is significantly higher than that of the control group, and the difference is statistically significant Judgment criteria (P<0.05); the incidence of complications in the observation group was 11.66%, and the incidence of complications in the control group was 23.33%. The observation group was significantly lower than the control group. The difference met the statistically significant evaluation criteria (P <0.05).
Conclusion  : Pre-hospital first aid in the emergency process of patients with hypertensive cerebral hemorrhage can effectively improve the treatment effect of patients and reduce the incidence of complications. It is worthy of clinical promotion and application.