“三位一體”急救模式對急性腦卒中救治和預后的影響

[摘要] 目的 探究和討論“三位一體”急救模式對急性腦卒中救治和預后的臨床療效。方法 方便選取2015年1月—2016年1月長春市綠園區(qū)正陽街消防大隊正陽急救站收治的140例腦卒中患者作為該次的研究對象。其中經(jīng)過120急救車送至該院的患者70例作為研究組，自行來院就診的患者作為對照組。對兩組患者發(fā)病到入院時間，治療后神經(jīng)功能恢復情況，患者治療后結果及預后進行比較。結果 研究組患者的入院時間平均為（66±12）min，對照組患者的入院時間平均為（109±14）min。兩組差異具有統(tǒng)計學意義（P<0.05）。在患者治療一周后，研究組患者神經(jīng)功能恢復情況明顯較對照組好，差異具有統(tǒng)計學意義（P<0.05）。研究組患者的預后良好率達61.4%，明顯優(yōu)于對照組（30%），兩組差異具有統(tǒng)計學意義（P<0.05）。結論 腦卒中患者在發(fā)病時采用三位一體的急救模式，對于降低腦卒中病死率和致殘率有積極的意義，值得推廣使用。

[關鍵詞] 腦卒中；急救模式；預后

[中圖分類號] R743.3 [文獻標識碼] A [文章編號] 1674-0742（2016）10（b）-0090-03

[Abstract] Objective To explore and discuss the \"trinity\" emergency mode for the clinical curative effect of treatment and prognosis of acute brain stroke. Methods 140 stroke patients were selected from January 2015 to January 2016 in Zhengyang Street Lvyuan Changchun city fire brigade emergency station were used as the research object， which has been sent to 120 ambulance to the hospital 70 patients as study group， to the hospital of the patients in the control group. The incidence of two groups of patients to the hospital admission time， after treatment， the recovery of neurological function， the results and prognosis of patients after treatment were compared. Results The average time of admission in the study group was （66±12） min， and the average time of admission in the control group was （109±14） min. The difference between the two groups was statistically significant（P<0.05）. After one week of treatment， the patients in the study group were significantly better than those in the control group， the difference was statistically significant（P<0.05）. The good prognosis rate of the study group was 61.4%， which was significantly better than that of the control group（30%）， and the difference between the two groups was statistically significant（P<0.05）. Conclusion In patients with stroke incidence when adopt the trinity of emergency mode， to reduce stroke mortality and morbidity have positive significance， is worth promoting.

[Key words] Cerebral apoplexy； Emergency mode； The prognosis

急性腦卒中又叫做中風或是腦血管意外，這種疾病在中老年人群中多發(fā)，已經(jīng)成為了目前人類死亡三大死亡疾病之一，而且致殘率非常高[1]。此種疾病起病急，進展迅速，病死率非常高，因此院前急救對于降低病死率和減少致殘率有著重要的意義。該次研究對2015年1月—2016年1月期間70例經(jīng)院前急救、急診室救治和ICU以及專科病房救治的三位一體化急救模式的患者進行研究，并與同期70例自行就診醫(yī)治、急診室救治和ICU以及專科病房救治的患者進行了對比分析，以探究和討論急性腦卒中最佳的救治和預后方法，現(xiàn)報道如下。……