急诊绿色通道在抢救急性重症颅脑外伤患者中的应用价值  

Value analysis of emergency green channel in rescuing patients with acute severe craniocerebral trauma

作　　者：林才[1] 姚晓腾[1] 李王安[2] 荆国杰[1] 曾春生[1] LIN Cai;YAO Xiaoteng;LI Wangan(Department of Neurosurgery, First People＇s Hospital of Huizhou, Guangdong Province, Huizhou 516000, China.)

机构地区：[1]广东省惠州市第一人民医院神经外科,516000 [2]广东省惠州市第一人民医院急救创伤中心,516000

出　　处：《临床合理用药杂志》2018年第16期20-21,共2页Chinese Journal of Clinical Rational Drug Use

基　　金：惠州市科技计划项目(No:2016Y058)

摘　　要：目的观察急诊绿色通道在抢救急性重症颅脑外伤患者中的应用价值。方法选取2012年1月1日-2014年10月30日医院收治的急性重症颅脑外伤患者23例作为对照组,2014年11月1日-2017年10月31日医院开展急诊绿色通道收治的急性重症颅脑外伤患者45例作为观察组,统计所有入组患者检查及检验开具时间、检查检验完成时间、相关科室会诊时间、到院时间、送手术时间、手术开始时间、患者平均住院时间,以及术前、术后5 d及术后2周格拉斯哥昏迷评分(GCS)。分析观察组阶段开展急诊绿色通道的临床价值。结果观察组检查及检验开具时间、检查检验完成时间、相关科室会诊时间、到院时间均短于对照组,差异均有统计学意义(P<0.05)。2组送达手术室时间比较差异不显著(P>0.05);观察组受伤到手术开始时间、患者平均住院时间均短于对照组,差异均有统计学意义(P<0.05)。2组术前GCS评分差异不显著(P>0.05),观察组术后5 d、术后2周GCS评分均高于对照组,差异有统计学意义(P<0.05)。结论针对急性重症颅脑外伤患者通过开展急诊绿色通道可缩短救治时间,减少患者平均住院时间,具有较高临床应用价值。Objective To analyse the value of emergency green channel in rescuing acute severe craniocerebral trauma. Methods 23 cases of acute severe craniocerebral trauma treated in hospital from January 1,2012 to October 30,2014 were selected as the control group. 45 cases of acute severe craniocerebral trauma treated in the emergency green channel from November 1,2014 to October 31,2017 were used as the observation group. Inspection time and completion time,related departments consultation time,the time of hospital delivery,the time of delivery to the operation room,the average time of hospitalization,Glasgow Coma Scale（ GCS） at 5 days postoperatively and 2 weeks after operation. The clinical value of emergency green channel in the observation group was analyzed. Results Inspection time and completion time,related departments consultation time,the time of the hospital,the time of hospital delivery in the observation group were shorter than those of the control group,the differences were statistically significant（ P〈 0. 05）. There was no significant difference between the two groups in the time of delivery to the operation room（ P 〉0. 05）. The time of operation and the average time of hospitalization of the patients in the observation group were shorter than that of the control group,and the differences were statistically significant（ P 〈0. 05）. There was no significant difference in GCS score between the two groups（ P 〉0. 05）. The GCS scores of the patients in the observation group were higher than those in the control group 5 days after operation and 2 weeks after the operation,and the differences were statistically significant（ P 〈0. 05）. Conclusion For the patients with acute severe craniocerebral trauma,the emergency green channel can shorten the treatment time and reduce the average time of hospitalization,which has high clinical application value.

关 键 词：急诊绿色通道 急性重症颅脑外伤患者 临床价值 

分 类 号：R651.15[医药卫生—外科学]