不同院前急救方式对急性脑卒中救治的影响研究  

Effects of Different Pre-hospital Emergency Methods on Acute Stroke

作　　者：刘江华[1] 张剑锋[1] 雷卓青[1] 郑晓文[1] 

机构地区：[1]广西医科大学第一附属医院西院急诊科,广西南宁市530007

出　　处：《中国全科医学》2010年第32期3663-3665,共3页Chinese General Practice

摘　　要：目的探讨不同院前急救方式对急性脑卒中救治的影响。方法选择我院2009年1月—2010年4月急诊科连续收治的新发脑卒中患者108例,分为自救组(n=52)和救护组(n=56)。比较两组的预后、急救时间和家属急救知识知晓率。结果在转运过程中,自救组呼吸道阻塞、脑疝及救治后神经功能后遗症发生率较救护组均明显升高,差异有统计学意义(P<0.05)。自救组病死率较救护组明显升高,差异有统计学意义(P<0.05)。自救组存活患者自救开始时间、院前开始急救时间、院外救治时间较救护组均明显延长,差异有统计学意义(P<0.05)。两组院内急救时间和入住专科时间比较,差异无统计学意义(P>0.05)。两组家属对脑卒中急救知识知晓率比较,差异有统计学意义(P<0.05)。结论脑卒中院前急救中,救护组转运过程并发症发生率、病死率和致残率较低,预后好,院外急救时间明显缩短,这与家属急救知识知晓率影响密切相关。普及群众的健康知识和急救意识是目前改善脑卒中预后的重要途径和手段。Objective To evaluate the effects of Pre-hospital emergency methods on prognosis of acute stroke patients.Methods One hundred eight new stroke patients admitted to our emergency department from January 2009 to April 2010 were divided into groups self-help（n=52）and rescue（n=56）.The prognoses,first-aid time and family＇s awareness of first-aid knowledge were compared between 2 groups.Results During transport process,the incidences of airway obstruction,cerebral hernia and neurological sequelae were significantly higher in self-help group than in rescue group（P〈0.05）;the mortality was higher（P〈0.05）;the starting time of self-help,time of pre-hospital emergency and of first-aid outside hospital was longer（P〈0.05）.No significant difference was noted in in-hospital rescue and time of admission to special wards between 2 groups（P〈0.05）.There was significant difference in awareness of first-aid knowledge between families of 2 groups（P〈0.05）.Conclusion Pre-hospital emergency of stroke has lower complication incidence,lower mortality and disability and shorter pre-hospital emergency time with good prognosis,which is closely related to the effects of family＇s awareness of emergency knowledge.Popularity of public＇s health knowledge and emergency awareness is an important means of improving stroke prognosis.

关 键 词：脑血管意外 急救医疗服务 预后 

分 类 号：R743.3[医药卫生—神经病学与精神病学]