一体化创伤急救模式在外科严重创伤急救中的应用效果分析  

Analysis of the application effect of integrated emergency treatment in severe trauma

作　　者：钟声 吴庆文 黄河 ZHONG Sheng;WU Qing-wen;HUANG He(Department of Emergency,Huiyang Sanhe Hospital,Guangdong Province,Huizhou516211,China)

机构地区：[1]广东省惠州市惠阳三和医院急诊科,广东惠州516211

出　　处：《中国当代医药》2021年第24期58-61,共4页China Modern Medicine

基　　金：广东省惠州市科技计划项目(20200402)。

摘　　要：目的分析一体化创伤急救模式在外科严重创伤急救中的应用效果。方法选取2018年11月—2019年11月惠州市惠阳三和医院急诊科收治的120例外科严重创伤患者作为研究对象,按照随机数字法将其分为对照组与观察组,每组各60例。对照组患者采用常规急救模式干预,观察组患者采用一体化创伤急救模式干预。比较两组患者的救治成功率、急救反应时间、昏迷状况[Glasgow昏迷评分(GCS)]及创伤程度[简明损伤定级法-损伤严重程度评分(AIS-ISS)]。结果观察组患者的救治成功率(86.87%)高于对照组(68.33%),差异有统计学意义(P<0.05)。观察组患者的急诊室停留时间、特殊检查耗费时间、急诊至手术间隔时间、入院至手术间隔时间均短于对照组,差异有统计学意义(P<0.05)。急救前,两组患者的GCS、AIS-ISS评分比较,差异无统计学意义(P>0.05);急救后,两组患者的GCS评分高于急救前,AIS-ISS评分低于急救前,差异有统计学意义(P<0.05);急救后,观察组患者的GCS评分高于对照组,AIS-ISS评分低于对照组,差异有统计学意义(P<0.05)。结论一体化创伤急救模式对外科严重创伤急救患者的作用明显,可缩短急救反应时间,提升救治成功率,对改善医患关系和患者生活质量有积极作用。Objective To analyze the application effect of integrated trauma emergency mode in surgical severe trauma emergency.Methods A total of 120 patients with severe surgical trauma admitted to the emergency department of Huizhou Huiyang Sanhe Hospital from December 2018 to December 2019 were selected as the research objects and divided into the control group and the observation group according to random numble table method,with 60 cases in each group.The control group received conventional emergency mode intervention,and the observation group received integrated trauma emergency mode intervention.The treatment success rate,emergency response time,coma status(Glasgow coma score[GCS])and trauma degree(abbre viated injury scale-injury severity score[AIS-ISS])were compared between the two groups.Results The success rate of treatment in the observation group was 86.87%,higher than 68.33%in the control group,and the difference was statistically significant(P<0.05).The stay time in the emergency room,the time spent in special examination,the time between emergency and operation,the time between admission and operation in the observation group were shorter than those in the control group,and the differences were statistically significant(P<0.05).Before emergency treatment,there were no significant differences in GCS and AIS-ISS scores between the two groups(P>0.05).After emergency,the GCS scores of the two groups were higher than those before emergency,the AIS-ISS scores of the two groups were lower than those before emergency,and the differences were statistically significant(P<0.05).After emergency,the GCS score of the observation group was higher than that of the control group,the AIS-ISS score of the observation group was lower than that of the control group,and the differences were statistically significant(P<0.05).Conclusion The integrated trauma emergency mode has a significant effect on surgical patients with severe trauma,which can significantly shorten the emergency response time,improve the success rate of treatmen

关 键 词：一体化创伤急救模式 外科 严重 创伤 急救 

分 类 号：R641[医药卫生—外科学]