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目的探讨急救医疗系统(EMS)对脑出血患者预后的影响。方法将107例首发脑出血患者按入院方式不同分为观察组46例(通过EMS入院),对照组61例(自行入院),回顾性分析两组患者院前延迟时间、30d的治疗效果、48h内病死率。结果观察组中位院前延迟时间1h,对照组中位院前延迟时间2h,两组比较差异有统计学意义(P<0.01)。30d治疗效果:观察组效果良好24例(52.2%),预后不良22例(47.8%);对照组效果良好26例(42.6%),预后不良35例(57.4%),两组治疗效果比较,差异无统计学意义(P>0.05)。观察组48h内病死率6.5%,对照组48h内病死率21.3%,两组比较,差异有统计学意义(P<0.05)。结论 EMS服务能够明显缩短院前延迟时间,降低脑出血早期病死率,并有可能改善预后。
Objective To investigate the effect of emergency medical system (EMS) on the prognosis of patients with intracerebral hemorrhage. Methods A total of 107 patients with first-episode intracerebral hemorrhage were divided into observation group (46 cases) and control group (61 cases) by retrospective analysis. The pre-hospital delay time, the therapeutic effect of 30 days, Within the fatality rate. Results The median prehospital delay time was 1h in the observation group and the median prehospital delay time was 2h in the control group. There was significant difference between the two groups (P <0.01). In the control group, 26 cases (42.6%) had good results and 35 cases (57.4%) had poor prognosis. The curative effect of the two groups was better than that of the control group (24 cases, 52.2% The difference was not statistically significant (P> 0.05). In the observation group, the case fatality rate within 48 hours was 6.5%, while that in the control group within 48 hours was 21.3%. There was significant difference between the two groups (P <0.05). Conclusion EMS service can significantly shorten the prehospital delay time, reduce the early mortality of cerebral hemorrhage, and may improve the prognosis.