规范化救治模式在严重交通伤救治中的应用  

Application of standardized treatment model in severe traffic injury

作　　者：汤中飞 李兵 阮海林 黄福文 杨家有 

机构地区：[1]广西壮族自治区柳州市工人医院骨科,545005 [2]广西壮族自治区柳州市工人医院急诊医学科,545005 [3]广西壮族自治区柳州市工人医院科教科,545005

出　　处：《中华灾害救援医学》2016年第4期186-189,共4页Chinese Journal of Disaster Medicine

基　　金：卫生部卫生公益性行业科研专项基金资助项目(201002014);广西科学研究与技术开发计划资助项目(桂科攻1355005-6-1);广西壮族自治区卫生厅自筹经费科研课题资助项目(Z2012527);柳州市科学研究与技术开发计划资助项目(2013J030409)

摘　　要：目的探讨规范化救治模式在严重交通伤院前和院内急救中的应用。方法对应用规范化救治模式前（对照组）后（项目组）在柳州市某医院就诊的严重交通伤患者救治情况的临床资料进行分析,比较两组院前急救时间、急诊室救治时间、存活率、伤残率情况,评估规范化救治模式在严重交通伤的应用价值。结果项目组存活率为84.5%,对照组存活率为76.9%,两组生存情况比较,差异有统计学意义（χ^2=5.857,P=0.016）;项目组院前（t=-14.116,P〈0.001）及急诊室施救时间（t=-17.835,P〈0.001）均显著低于对照组,两组差异有统计学意义。项目组存活278例,伤残率为30.2%,对照组存活237例,伤残率为37.1%;两组伤残率比较,差异有统计学意义（χ^2=2.75,P=0.047）。结论规范化救治模式可明显缩短严重交通伤院前急救时间、急诊室救治时间,降低病死率、伤残率,具有良好的临床推广价值。Objective To investigate the application of standardized treatment model in emergency treatment of patients with severe traffic injury in prehospital and hospital-based emergency care. Methods Clinical data of patients with severe traffic injury in a hospital of Liuzhou city before （control group） and after （project group） the application of standardized treatment mode were analyzed. The prehospital emergency time, time spent in emergency room, survival rate, and disability rate were compared between the two groups to appraise the significance of standardized treatment model in dealing with severe traffic injury. Results Survival rate of the project group was 84.5%, and 76.9% of the control group. There was a significant difference in survival rate between the two groups （χ^2=5.857, P=0.016）. Prehospital emergency time （t=-14.116, P〈0.001） and time spent in emergency room （t=-17.835, P〈0.001） of project group were significantly lower than that in control group, and the differences were statistically significance. There were 278 survival patients （30.2%） in project group ended up as the disabled, while 237 survival patients （37.1%） for the control group, and the difference was statistically significant （χ^2=2.75, P=0.047）. Conclusions Standardized treatment model could shorten prehospital emergency time and time spent in emergency room, reduce mortality and disability rate, which is worthy of clinical application.

关 键 词：规范化救治模式 交通伤 院前急救 院内急救 

分 类 号：R64[医药卫生—外科学]