Effect of pre-hospital care on prognosis of hypertensive intracerebral hemorrhage

Abstract

Objective To investigate the effect of pre-hospital emergency on prognosis of patients with hypertensive cerebral hemorrhage. Methods From January 2016 to March 2017, 66 patients of hypertensive cerebral hemorrhage in Yuncheng Emergency Center were randomly divided into control group(routine treatment, 33 cases) and observation group(pre-hospital emergency, 33 cases)according to the digital table.The first aid efficiency, incidence of complications, quality of life and rescue result of the two groups were compared. Results The onset to the emergency department time, emergency department preliminary processing time, the relevant departments to do special inspection time, specialist diagnosis and treatment time, total emergency time in the observation group were (19.36±2.05)min, (15.13±2.41)min, (12.26±3.42)min, (8.20±1.21)min, (51.52±5.41)min, respectively, which were shorter than those in the control group[(35.26±2.52)min, (26.36±2.73)min, (17.25±4.12)min, (12.23±2.23)min, (84.26±4.56)min], there were statistically significant differences between the two groups(t=28.12, 17.72, 5.35, 9.12, 26.58, all P<0.05). The incidence rates of gastrointestinal bleeding, reduced blood oxygen saturation, central high fever, hypostatic pneumonia in the observation group were 0.00%, 3.03%, 3.03%, 6.06%, respectively, which were lower than those in the control group (12.12%, 21.21%, 18.18%, 24.24%)(χ2=4.26, 5.12, 4.00, 4.24, all P<0.05). After the condition was stable, the mental health score, emotional function score, physiological body function score, pain score, physiological function score, social function score of the observation group were (82.36±1.52), (84.36±2.43), (81.56±2.10), (83.64±2.54), (85.21±3.46), (84.59±3.26), respectively, which were higher than those of the control group[(68.53±2.57), (70.26±3.25), (69.64±3.56), (68.52±2.49), (69.12±3.23), (70.31±2.26)], there were statistically significant differences between the two groups(t=26.61, 19.96, 16.57, 24.42, 19.53, 20.68, all P<0.05). The rescue success rate of the observation group was 100.00%, which was higher than 78.79% of the control group, there was statistically significant difference between the two groups(χ2=7.83, P<0.05). Conclusion Pre-hospital care can effectively improve the prognosis of hypertensive intracerebral hemorrhage. Key words: Intracranial hemorrhage, hypertensive; Emergency medical services; Prognosis