预见性护理在脊柱损伤合并多发伤院前急救中的应用  

The application of foresight care in first-aid for spinal cord injury patients with multiple trauma

作　　者：杜建蓉[1] 荣秀华[1] 黄丽[1] 

机构地区：[1]成都市第二人民医院急诊科,四川成都610017

出　　处：《实用医院临床杂志》2013年第4期128-130,共3页Practical Journal of Clinical Medicine

摘　　要：目的探讨预见性护理在脊柱损伤合并多发伤院前急救中的作用。方法 2009年3月至2012年2月我科抢救69例脊柱损伤多发伤患者,其中2009年3月至2010年12月的36例按照常规急救程序救护(对照组),2011年1月至2012年2月的33例在常规救护基础上实施预见性护理(观察组)。比较两组救护车到达时间、有效抢救时间、急救成功率。结果救护车到达时间两组差异无统计学意义(P>0.05)。观察组有效抢救时间为(28.54±6.1)min,急救成功率93%;对照组有效抢救时间为(39.51±5.3)min,急救成功率77%,差异均有统计学意义(P<0.05)。结论在脊柱损伤多发伤院前救护各环节运用预见性思维,针对性实施护理,能提高院前救护的质量,控制病情的发展。Objective To explore the role of foresight care played in first-aid for spinal cord injury patients with multiple trauma. Methods Sixty nine spinal cord injury patients with multiple trauma during the period from March 2009 to February 2012 were involved in the study. Of these patients,36 patients from March 2009 to December 2010 were treated with conventional first-aid were used as control group while 33 patients from January 2011 to February 2012 33 were treated with foresight nursing care based upon conventional first-aid were designed as observe group. The time of ambulance arrived, effective rescue time and first aid the success rate were compared between the two groups. Results There was no statistical significance in the time of ambulance arrived between the two groups. However the effective rescue time in the observation group（28.54 ±6. 1 ） min was shorter than that in the control group（39. 51±5.3 ）rain, and first aid success rate in the observation group（93% ）was higher that in the control group（77% ）. The differences were statistically significant（ All P 〈0. 05 ）. Conclusions The foresight care in first-aid for spinal cord injury patients with multiple trauma may improve the pre-hospital care quality and control the development of disease.

关 键 词：预见性护理 脊柱损伤 多发伤 院前急救 

分 类 号：R459.7[医药卫生—急诊医学]