一体化创伤急救模式在创伤性脾破裂患者围术期的实践研究  

Perioperative practice of integrated trauma first aid model in traumatic splenic rupture

作　　者：孙茜 刘娟[2] 孙虹[1] 汪璠 杨晨晨[1] 孙春霞[1] Sun Qian;Liu Juan;Sun Hong;Sun Chunxia(Emergency Department,Huai’an First Hospital Affiliated to Nanjing Medical University,Huai'an 223001,China)

机构地区：[1]南京医科大学附属淮安第一医院急诊科,淮安223001 [2]南京医科大学附属淮安第一医院运管处,淮安223001

出　　处：《中华保健医学杂志》2022年第6期506-508,共3页Chinese Journal of Health Care and Medicine

基　　金：江苏省医院协会医院管理创新研究课题基金项目(JSYGY-3-2021-403)。

摘　　要：目的探讨一体化创伤急救模式在创伤性脾破裂患者围术期的实践效果。方法回顾性分析南京医科大学附属淮安第一医院2017年1月~2020年12月救治的创伤性脾破裂患者131例,2017年1月~2018年12月间采用传统急救模式的患者65例纳入对照组,2019年1月~2020年12月间应用一体化创伤急救模式后收治的患者66例纳入观察组;对比两组患者围术期指标急诊室停留时间、术后首次肛门排气时间、住院天数、住院费用,调查两组患者满意度。结果观察组患者急诊室停留时间、术后首次肛门排气时间、住院天数、住院费用均低于对照组,差异有统计学意义(P<0.05);观察组患者满意度优于对照组,差异有统计学意义(P<0.05)。结论一体化创伤急救模式可提高急救效率,促进患者术后康复,提高患者满意度。Objective To explore the perioperative effect of integrated trauma first aid mode in patients with traumatic splenic rupture.Methods The data of patients with traumatic splenic rupture treated in our hospital from January 2017 to December 2020 were retrospectively analyzed.Sixty-five patients were included in the control group from the patients treated in our hospital before the application of integrated trauma emergency treatment mode from January 2017 to December 2018.From January 2019 to December 2020,66 patients admitted to our hospital after the application of integrated trauma emergency mode were included in the observation group;Perioperative indicators of patients in the two groups were compared:emergency room stay time,postoperative first anal exhaust time,hospitalization days,hospitalization costs,and the satisfaction of patients in the two groups for emergency work was investigated.Results The emergency room stay time,postoperative first anal exhaust time,hospitalization days and hospitalization costs in the observation group were lower than those in the control group,with statistical significance(P<0.05).The patient satisfaction of observation group was better than control group,and the difference was statistically significant(P<0.05).Conclusion Integrated trauma first aid model can improve the efficiency of first aid,promote postoperative rehabilitation of patients,improve patient satisfaction.

关 键 词：一体化创伤急救模式 创伤性脾破裂 围术期 

分 类 号：R657[医药卫生—外科学]