急诊绿色通道对颅脑外伤患者临床疗效的影响  

Effect of emergency easy access on clinical efficacy of craniocerebral trauma

作　　者：庄君灿[1] 黄奇花[1] 吕伟垣 吴木富[1] 陈汀劳 冯日祥 许登兰 张太强[1] 

机构地区：[1]广东省江门市人民医院急诊科,529020

出　　处：《实用医学杂志》2015年第3期433-436,共4页The Journal of Practical Medicine

基　　金：2014年度江门市第二批科技计划项目(编号:2014020)

摘　　要：目的:探讨急诊绿色通道对颅脑外伤抢救的意义。方法:对我院急诊科2003年1月至2013年12月期间收治的492例颅脑外伤患者进行前瞻性研究,随机分为研究组和对照组,比较两组急救反应时间、治疗效果预后、远期生存质量。结果:研究组的院前急救时间、急诊科抢救时间、辅助检查时间、受伤到手术时间都比对照组短(P<0.001);用格拉斯哥预后评分(GOS)评价治疗效果,研究组优于对照组(P<0.05);用Barthel指数评价远期生存质量,两组治疗前无差异,但治疗后有差异(P<0.05),研究组评分提升程度高于对照组。结论:颅脑外伤患者实施"急诊绿色通道"抢救,可缩短救治时间,提高抢救成功率,改善预后,提高生存质量,值得推广。Objective To inivestigate the value of emergency easy access on craniocerebral trauma. Methods Prospective study was performed on 492 craniocerebral trauma from 2003 January to 2013 December. The patients were divided into the research group and the control group. The emergency response time, treatment outcomes, quality of long-term survival were analyzed. Results Compared with the control group, the pre-hos- pital emergency time, emergency rescue time, auxiliary examination time, injury to operation time were signifi- cantly saved in the research group （P 〈 0.001, respectively）. The therapeutic effect evaluated by Glasgow Out- come Scale in the research group was better than that in the control group （P 〈 0.05）. The long-term life quality evaluated by Barthel index had no difference before treatment, but had significant difference after treatment （P 〈 0.05）, and the research group had a higher degree of upgrading. Conclusion Emergency easy access on cran- iocerebral trauma can shorten the treatment time, improve the success rate, prognosis and quality of life and it＇s worthy of being widely applied.

关 键 词：颅脑损伤 绿色通道 生存质量 

分 类 号：R651.15[医药卫生—外科学]