郭有强：急诊内科不明原因昏迷患者临床治疗方案研究
脸部长痘83 *临床与实践*
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唇部护理急诊内科不明原因昏迷患者临床治疗方案研究郭有强
兖矿新里程总医院急诊科，山东邹城273500
性动摘要目的探讨急诊内科不明原因昏迷患者临床治疗方案研究观察。方法回顾分析该院在2017年2月一2019年9月急诊科收治的84例不明原因昏迷的患者作为研究对象，分为研究组和空白组，各42例，其中，研究组实施急诊内科不明原因昏迷患者临床治疗方案，空白组实施常规治疗其余不做特殊处理，分析察记录术后患者临床疗效以及昏迷指数、变化并进行统计学分析。结果两组治疗期间均未出现明显不良反应。研究组总有效率92.86%明显高于空白组76.19%，差异有统计学意义仪2= 4.459,!<0.05)，治疗后，研究组的昏迷指数评分深昏迷(70.5±1.3)分、中昏迷(8.2±1.1)分、浅昏迷(6.6±1.0)分优于空白组(72.2±2.1)分、(8.9±1.2)分、(7.1±1.1)分，差异有统计学意义(#=4.461、2.738、2.096，!<0.05)。结论实施急诊内科不明原因昏迷患者临床治疗方案，患者疼痛缓解明显，有效控制了疼痛的程度。
关键词急诊内科；昏迷'治
中图分类号R256.24文献标志码A doil0.11966/j.issn.2095-994X.2020.06.08.28
Study on Clinical Treatment Plan for Patients with Unexplained Coma in Emergency Medical Department
GUO You-qiang
Emergency Department,Yankuang New Milestone General Hospital,Zoucheng,Shandong Province,273500China
Abstract Objective To investigate the clinical treatment plan of patients with unexplained coma in emergency medical department. Methods A retrospective analysis of84patients with unexplained coma admitted to the emergency department of the hospital from February2017to September2019as the study subjects were divided into a study group and a blank group with42cas each.Among them,the study group implemented the emergency department of unknown medicine,The clinical treatment plan for patients with coma,the blank group received conventional treatment and no special treatment was performed,The postoperative clinical effi-caty,coma index and changes of the patients were analyzed and recorded,and statistical analysis was performed.Results There were no obvious adver reactions during the treatment of the two groups.The total effective rate of92.86%in the study group was significantly higher than76.19%in the blank group,and the difference was statisti天亮了汤晶锦
cally significant(!2=4.459，!<0.05).After treatment,the coma index score of the study group was deep coma(70.5±1.3)points and moderate coma(8.2±1.1)points and shallow coma(6.6±1.0)points are better than blank group(72.2±2.1)points,(8.9±1.2)points,(7.1±1.1)points,the difference is statistically significant(#=4.461,2.738, 2.096,!<0.05).Conclusion To implemented the clinical treatment plan for patients with unexplained coma in emergency medical department.The pain relief of patients is obvious,and the degree of pain is effectively controlled.
Key words Emergency Medicine;Coma;Treatment plan
天文气象昏迷是急诊医学中常见的一种情况，其特点是病情复杂，病因难以确定，误诊率极高，在很短的时间内，昏迷在内科较为常见，且多数患者伴有不同程度的脑功能障碍叫大多数昏迷常常与诸如高血压、脑出血和动脉粥样硬化疾病有关，如果患者出现昏迷现象，容易出现严重的后果"所以医务人员应提高认识，如果临床伴有恶心、呕
暴走恐怖故事漫画收稿：期：2020-07-01；修回：期：2020-07-22
作？简介：郭有强(1971-)，男，本科，主E/F，研究方向：急诊科
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