高血压脑出血患者院前急救的近期预后效果

目的探讨高血压脑出血患者院前急救的近期预后效果。方法收集2010年1月～2012年1月眉山市人民医院诊治的高血压脑出血患者180例，其中进行院前急救者88例为观察组，未进行院前急救者92例为对照组，给予相应的干预措施，随访1年。观察其干预效果，同时统计其并发症发生情况。结果与对照组比较，观察组t1、t2,t5均短于对照组，差异均有统计学意义（t=12．35、10．17、10．56，均P〈0．05）。两组治疗效果比较，观察组基本痊愈率（92．0％）及有效率（97．7％）明显高于对照组（71．7％、77．2％），无效率（2．3％）低于对照组（22．8％），差异均有高度统计学意义（均P〈0．01）。两组均无死亡病例。观察组生活质量各项评分均高于对照组，差异有统计学意义（t=8．005、10．674、12．348、10．642、12．364、10．547，均P〈0．05）。并发症发生情况，观察组中枢性高热发生率（17．0％）、气道阻塞发生率（9．1％）、脑疝发生率（6．8％），明显低于对照组（40．2％、29.3％、22．8％），差异均有高度统计学意义（均P〈0．01）。结论高血压脑出血院前急救可为其抢救争取黄金时间，明显改善患者的预后，降低并发症的发生情况．且效果明显。

Effect of the recent prognosis of pre-hospital emergency for patients with hypertensive cerebral hemorrhage

Objective To study the effect of the recent prognosis of pre-hospital emergency for patients with hypertensive cerebral hemorrhage. Methods 180 patients with hypertensive cerebral hemorrhage were collected from January 2010 to January 2012 in the People＇s Hospital of Meishan City, 88 cases of pre-hospital emergency treatment were chosen as observation group, 92 cases of no-pre-hospital emergency treatment were selected as control group, they were given the corresponding intervention measures, followed up for 1 year. The intervention effect and its complica- tions were observed. Results The t1, t2, t5 in observation group were shorter than those in the control group, the differences were statistically significant （t = 12.35, 10.17, 10.56, all P 〈 0.05）. The basic recovery rate and efficiency rate in observation group （92.0%, 97.7%） were higher than those in control group （71.7%, 77.2%）, the ineffective rate （2.3%） was lower than that in control group （22.8%）, the differences were statistically significant （all P 〈 0.01）. No death was found in the two groups. The quality of life score of observation group were all higher than those of the control group, the differences were statistically significant （t = 8.005, 10.674, 12.348, 10.642, 12.364, 10.547, all P 〈 0.05）. The central high fever occurrence rate （17.0%）, the incidence of airway obstruction （9.1%）, the incidence of cerebral hernia （6.8%） in observation group were lower than those in the control group （40.2%, 29.3%, 22.8%）, the differences were statistically significant （all P 〈 0.01）. Conclusion The hypertension cerebral hemorrhage pre-hospital can save the rescue for prime time, significantly improve the prognosis of patients, and reduce complications, and the effect is obvious.