酒精中毒昏迷患者在急诊观察治疗期间的风险管理  

Risk management in emergency observation during treatment of alcoholic coma patients

作　　者：潘唐超[1] 胡绍通[1] 

机构地区：[1]广东医学院附属三水医院急诊科,广东佛山528100

出　　处：《中国卫生产业》2012年第16期21-22,共2页China Health Industry

摘　　要：目的观察急诊观察治疗期间的风险管理对酒精中毒昏迷患者的影响,为临床工作提供参考。方法选择我院急诊2009年5月～2011年4月收治的酒精中毒昏迷患者76例,随机分为2组。全部患者均给予急救处理,观察组在急诊观察治疗期间实施风险管理,观察两组患者风险事件发生率的差异,并比较实施风险管理前后患者格拉斯哥昏迷评分(Glasgow)的差异。结果全部患者经急诊救治和风险管理后意识均恢复,清醒时间(2.86±0.54)h;与治疗前比较,Glasgow评分明显升高,差异均有统计学意义(P<0.05);两组患者急救成功率比较差异无统计学意义(P>0.05);观察组风险事件发生率明显低于对照组,差异有统计学意义(P<0.05)。结论在酒精中毒昏迷患者急诊观察治疗期间实施风险管理,可有效降低风险事件的发生率,值得推广应用。Objective Observe risk management on alcoholic coma patients, to provide reference for clinical work. Methods Choose 76 cases in emergency department of our hospital from May. 2009 to Apr 2011, randomly divided them into 2 groups. All patients were given emergency treatment, observation group at emergency treatment during the implementation of risk management, ob- served risk of incident rate differences, and compared before and after the implementation of risk management in patients with Glasgow Coma Scale. Results All patients recovered, awake time （2.86±0.54） h; compared with before, Glasgow score was signifi- cantly elevated, the differences were statistically significant （P 〈 0.05）; 2 patients rescue success rate have not statistical signifi- cance （P 〉 0.05）; observation group risk events incidence is significantly lower than control group, the difference was statistically significant （P 〈 0.05）. Conclusion Risk management in emergency observation treatment of alcoholic coma patients can reduce the risk event rates, it is worthy of popularization and application.

关 键 词：酒精中毒 昏迷 急诊救治 风险管理 

分 类 号：R595.6[医药卫生—内科学]