急救医疗对高血压性脑出血患者转归的影响调查

【目的】分析高血压脑出血患者的院前急救治疗对该疾病转归的影响。【方法】将260例高血压脑出血患者按院前是否急救，分为研究组和对照组。研究组由医院120出车现场急救，对照组由他人自行送入医院急诊科。分析总结两组患者的转归情况。【结果】研究组院前延迟时间为0．4～2．8h，对照组院前延迟1．2～10．1h，研究组院前延迟时间显著短于对照组的院前延迟时间（P〈0．05）。观察组48h病死率（5．83％）明显低于对照组病死率（11．42％）。观察组轻度神经功能缺损患者例数明显低于对照组。【结论】实施急救医疗的高血压性脑出血患者转归较其他患者好，可以有效地控制恶化程度，争取更多救治时间，降低病死率。

Survey of the Effect of Emergency Medicine on the Outcome of Patients with Hypertensive In-tracerebral Hemorrhage

Objective] To analyze the effect pf pre-hospital first aid treatment on the outcome of patients with hypertensive cerebral hemorrhage. Methods] A prospective study was used to divide 260 patients with hypertensive intracerebral hemorrhage into study group and control group. The outcome of patients in two groups were analyzed and summarized. Results] The pre-hospital delay time in study group and control group was 0.4～2.8h and 1.2～10. lh, respectively. The pre-hospital delay time in study group was significantly shorter than that in control group（P〈0.05）. The 48h-mortality in study group was obviously lower than that in control group（5.83% vs 11.42%）. The number of patients with mild neurologic impairment in study group was obviously lower than that in control group. Conclusion] The outcome of patients with hypertensive intrac- erebral hemorrhage receiving emergency medical treatment is better than other patients, and can effectively control the degree of deterioration, and obtain more treatment time and reduce the mortality.