改良创伤急救模式在严重创伤救治过程中的应用  

Application of the improved first-aid model in severe trauma

作　　者：张漫漫[1] 薛胜男[1] 陶洁茹[1] 王莹莹[1] 张秀霞[1] 朱烈烈[1] 陈大庆[1] 

机构地区：[1]温州医科大学附属第二医院,温州325027

出　　处：《浙江创伤外科》2015年第6期1061-1063,共3页Zhejiang Journal of Traumatic Surgery

基　　金：温州市科技计划项目Y20130015温州地区严重创伤救治规范的研究

摘　　要：目的观察改良后急救模式在严重创伤急救中的效果。方法选择2013年8月至2014年8月,实施改良后创伤急救模式的严重创伤患者60例作为研究对象(改良组),另选择2012年7月至2013年7月实施传统(改良前)创伤急救模式严重创伤患者55例作为对照(对照组)。对照组按常规急救程序进行救治,改良组实施改良急救模式。比较两组临床救治效果。结果改良组抢救成功率及并发症发生率与对照组比较,差异有统计学意义(P<0.05)。改良组急诊科停留时间、影像学检查时间、急诊室至手术室时间、ICU住院时间、总住院时间较对照组明显缩短,差异有统计学意义(P<0.05)。结论改良后创伤急救模式可提高救治质量,值得临床推广应用。Objective To observe the effect of improved first-aid mode in treatment of severe multiple injury. Methods A study was done on 60 trauma patients（improved group）treated by the improved first-aid model from August 2013 to August 2014 to observe the effect of improved first-aid model. Another 55 trauma patients treated from July 2012 to July 2013 were used as control group. Results Compared with the control group,the time in emergency room care,imaging examination time,interval from emergence-room to operating room,length of ICU stay,length of hospital stay,and complication rates were less in improved first-aid model group（P〈0.05）. Conclusion It’s worth to extend the improved first-aid mode which can improve the quality and success rate in treatment of severe multiple injury.

关 键 词：改良创伤急救模式 严重创伤 

分 类 号：R641[医药卫生—外科学]