急诊内科高血压性脑出血患者的临床治疗方法及效果研究  

Study on Clinical Treatment Methods and Effects of Patients with Hypertensive Cerebral Hemorrhage in Emergency Medical Department

作　　者：田阳 方蔷 黄庆 张扬[1] TIAN Yang;FANG Qiang;HUANG Qing;ZHANG Yang(Infirmary,Shenzhen Branch of China Southern Airlines,Shenzhen,Guangdong Province,518000 China)

机构地区：[1]中国南方航空股份有限公司深圳分公司医务室,广东深圳518000

出　　处：《世界复合医学》2020年第11期60-62,共3页World Journal of Complex Medicine

摘　　要：目的分析急诊内科高血压性脑出血患者的临床治疗方法及效果。方法抽选2019年1月—2020年2月该院急诊内科收治的102例高血压性脑出血患者为研究对象,以任意编号的形式划入实验组与参照组(n=51)。参照组予以常规治疗,实验组在此基础上联合院前急救综合治疗,比较患者的抢救效果及并发症发生情况。结果实验组患者的抢救时间、症状控制时间及住院时间较参照组均较短,组间差异有统计学意义(P<0.05);治疗前两组患者神经功能缺损评分比较差异无统计学意义(P>0.05),治疗后1个月及治疗后2个月实验组的神经功能缺损评分均相对较低,与参照组评分对比差异有统计学意义(P<0.05);实验组患者的治疗有效率是98.04%,参照组患者的整体治疗有效率是84.31%,实验组的整体治疗有效率相对较高(χ2=4.39,P<0.05)。实验组患者治疗期间出现2例并发症,参照组患者治疗期间出现9例并发症,组间差异有统计学意义(χ2=6.84,P<0.05)。结论急诊内科高血压性脑出血患者的综合治疗,可改善患者的神经功能缺损状态,缩短其治疗时间及住院时间。Objective To analyze the clinical treatment methods and effects of patients with hypertensive cerebral hemorrhage in emergency medicine.Methods From January 2019 to February 2020,102 patients with hypertensive cerebral hemorrhage admitted to the emergency department of the hospital were selected as the research objects,and they were assigned to the experimental group and the reference group in the form of arbitrary numbers(n=51).The reference group was given conventional treatment,and the experimental group was combined with comprehensive pre-hospital emergency treatment on this basis to compare patients'rescue effects and complications.Results The rescue time,symptom control time and hospitalization time of the experimental group were shorter than those of the reference group(P<0.05),and there was no significant difference between the two groups before treatment(P>0.05),after 1 month and 2 months treatment,the scores of neurological deficit in the experimental group were lower than those in the reference group(P<0.05),and the effective rate of the experimental group was 98.04%,the total effective rate of the reference group was 84.31%,while that of the experimental group was relatively higher(χ2=4.39,P<0.05).There were 2 cases of complications in the experimental group and 9 cases of complications in the reference group.There was significant difference between the two groups(χ2=6.84,P<0.05).Conclusion Comprehensive treatment of patients with hypertensive intracerebral hemorrhage in emergency medical department can improve the neurological deficit and shorten the treatment time and hospital stay.

关 键 词：急诊内科 高血压性脑出血患者 临床治疗 院前急救 

分 类 号：R743.34[医药卫生—神经病学与精神病学]