专职化院前急救对重型颅脑损伤患者预后的影响

目的探讨专职化院前急救对重型颅脑损伤患者的预后影响。方法回顾分析2003年1月～2006年12月51例重型颅脑损伤患者院前急救资料，29例行专职化院前急救患者为研究组，22例行非专职化院前急救患者为对照组，比较两组患者出车时间、到达现场时间及预后。结果研究组院内反应时间及到达现场时间分别为（2．28±0．37）分和（10．07±1．27）分，较对照组明显缩短（P〈0．05）；专职化院前急救预后良好率为58．62％，明显优于非专职化院前急救（P〈0．05）；重度伤残及死亡率（41．38％）低于非专职化院前急救（P〈0．05）。结论专职化院前急救可明显提高重型颅脑损伤患者生存率与生存质量，降低死亡率与伤残率，改善患者预后。

Effects of professional prehospital emergency treatment on prognosis in patients with severe traumatic brain injury

Objective To investigate the effect of the professional prehospital emergency cares on prognosis of patients with severe traumatic brain injury(TBI).Methods The data of 51 severe TBI patients admitted between Jan.2003 and Dec.2006 were analyzed.Among 29 patients,who received professional prehospital emergency treatment were taken as study group,and 22 patients who received non professional prehospital emergency treatment were taken as control group.The vehicle dispatching time,arriving time and prognosis we...