急救绿色通道在基层医院急诊抢救严重多发伤中的应用  

Application of first-aid fast track （green access） on severe multiple trauma in primary-level hospitals

作　　者：刘红丽[1] 黄德才[2] 关山越[2] 陈小武[1] 杨少连 谢军[1] 汪兴玲 邓庆中 林罗此 韩东[1] 

机构地区：[1]肇庆市第二人民医院急诊科,广东526060 [2]肇庆市第二人民医院医务科

出　　处：《中国急救复苏与灾害医学杂志》2012年第5期422-425,共4页China Journal of Emergency Resuscitation and Disaster Medicine

摘　　要：目的探讨基层医院急诊科如何应用急救绿色通道对严重多发伤患者进行快速、高效救治。方法回顾分析2010年1月～2011年12月急救绿色通道建立后126例多发伤患者救治效果，与2008年10月。2009年12月未建立绿色通道前救治的75例效果作比较。结果急救绿色通道建立后患者死亡率下降，差异有统计学意义（P〈0．05）。急救处置时间，从急诊到影像科检查完毕时间，会诊时间，患者入急诊科至达手术室交接班的时间均明显缩短，差异有统计学意义（均P〈0．05）。执行绿色通道前后患者满意度、临床科室对急诊工作满意度，均明显提高。结论基层医院通过加强规范急诊绿色通道内涵建设及高质量执行绿色通道制度后，明显提高多发伤急救工作效率和医疗质量，加强规范急诊绿色通道内涵建设及高质量执行绿色通道制度的做法值得在基层医院推广应用。Objective To explore the measures utilizing the green access in primary-level hospital emergency departments in providing timely effective treatment to those severe multiple trauma patients. Methods A retrospective analysis was performed on 126 multiple trauma cases which received treatment through the green access in between January 2010 and December 2011, and the comparison was made with another 75 multiple trauma cases （control group） in between October 2008 and December 2009 which took place prior to the green access establishment. Results After the green access was established and in service, the mortality descended with statistical meaning （P〈 0.05）. Comparing with the control group, the green access shortened emergency disposal time, time back and forth to radiology department, diagnostic time, as well as time to operation room （all P〈 0.05）. Conclusion Strengthening and standardizing the green access construction may improve quality in providing timely medical care for those severe multiple trauma patients. It is recommended that the green access be utilized in all primary-level hospitals.

关 键 词：基层医院 急救绿色通道 多发伤 急救程序 

分 类 号：R197.1[医药卫生—卫生事业管理]