急救绿色通道对提高严重创伤救治水平的临床研究  

Effects of first aid fast track on improving the level of trauma care

作　　者：康德[1] 陈桂喜[1] 石聪辉[1] 吴燕生[1] 郑志鹏[1] 陈功雷 曾庆铨 纪旭[1] 王翠玉[1] 林腾珠[1] 

机构地区：[1]解放军第一七五医院,厦门大学附属东南医院急诊科,福建漳州363000

出　　处：《创伤与急诊电子杂志》2013年第3期26-29,共4页Journal of Trauma and Emergency(Electronic Version)

摘　　要：目的探讨急救绿色通道对提高严重创伤救治水平的影响。方法建立急救绿色通道,观察55例创伤患者的急救情况,以过去未建立急救绿色通道的36例严重创伤患者的救治作为对照组。结果两组基线资料具有可比性,绿色通道组死亡率较对照组减低(P<0.05)。绿色通道组在急诊室处理时间、特殊检查时间、入院至手术室时间较对照组明显缩短(P<0.05)。结论急救绿色通道的建立和完善,缩短了患者的救治空间和时间,显著降低伤残率和死亡率,提高了救治成功率;保证了创伤急救的"时效性和整体性";促进了创伤学人才的培养。Objective To explore effects of first aid fast track on improving the level of severe trauma care. Method 55 trauma patients from trauma center after establishment of first aid fast track as an experimental group and 36 trauma patients before the establishment as a control group were analysed retrospectively. Result The baseline of two groups were comparable( P> 0. 05); The death rate of the esperimental group was lower than that of the control group.It took less time in emergency room care, special inspect and hospital admission to operating room in fast track group than in control group( P < 0. 05).Conclusion The establishment and consummation of first aid fast track help shorten the space and time of trauma care, decrease the death rate significantly, increase the achievement ratio,guarantee chronergy and integrity of trauma emergency care and promote the cultivation of talented men in traumatology.

关 键 词：创伤 急救绿色通道 救治 创伤学人才 

分 类 号：R641[医药卫生—外科学]