急诊绿色通道在颅脑创伤患者中的应用效果  

Application Effect of Emergency Green Channel in Patients with Craniocerebral Trauma

作　　者：林才[1] 姚晓腾[1] 李王安[1] 荆国杰[1] 曾春生[1] LIN Cai;YAO Xiao-teng;LI Wang-an;JING Guo-jie;ZENG Chun-sheng(Department of Neurosurgery,the First People's Hospital of Huizhou,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

出　　处：《实用心脑肺血管病杂志》2017年第B12期68-69,共2页Practical Journal of Cardiac Cerebral Pneumal and Vascular Disease

摘　　要：目的分析急诊绿色通道在颅脑创伤患者中的应用效果。方法选取惠州市第一人民医院2013—2014年收治的颅脑创伤患者58例作为对照组,2015—2016年收治的颅脑创伤患者66例作为观察组。对照组患者行常规急诊救治,观察组患者行急诊绿色通道救治。比较两组患者来院至检查完成时间,来院至手术开始时间,住院时间,术前、术后2周格拉斯哥昏迷量表(GCS)评分及Barthel指数评分。结果观察组患者来院至检查完成时间、来院至手术开始时间、住院时间短于对照组(P<0.05)。术前两组GCS评分、Barthel指数评分比较,差异无统计学意义(P>0.05);术后2周观察组患者GCS评分、Barthel指数评分高于对照组(P<0.05)。结论急诊绿色通道在颅脑创伤患者中的应用效果良好,有利于缩短急诊救治时间及住院时间,改善患者生存质量及预后。Objective To analyze the application effect of emergency green channel in patients with craniocerebral trauma.Methods A total of58patients with craniocerebral trauma were selected as control group in the First People's Hospital of Huizhou from2013to2014(serviced as control group),66patients with craniocerebral trauma were selected as observation group in the First People's Hospital of Huizhou from2015to2016(serviced as observation group).Patients of control group received routine emergency rescue,while patients of observation group received emergency green channel rescue.Duration between calling ambulance and examinations completion,duration between calling ambulance and beginning of operation,hospital stays,GCS score and Barthel index before operation and2weeks after operation were compared between the two groups.Results Duration between calling ambulance and examinations completion,duration between calling ambulance and beginning of operation,hospital stays of observation group were statistically significantly shorter than those of control group(P<0.05).No statistically significant differences of GCS score or Barthel index was found between the two groups before operation(P>0.05),while GCS score and Barthel index of observation group were statistically significantly higher than those of control group2weeks after operation(P<0.05).Conclusion Emergency green channel has good application effect in patients with craniocerebral trauma,can effectively shorten the emergency rescue time and hospital stays,improve the quality of life and prognosis.

关 键 词：颅脑损伤 急救医疗服务 急诊处理 

分 类 号：R651[医药卫生—外科学]