创伤中心实体化建设对严重多发伤患者的影响  

The influence of entity construction of trauma center on patients with severe multiple injuries

作　　者：何永刚 阮兴隆 李明[2,3,4] 王传林 梁正云[1] 喻廷江[1] 陆超 HE Yonggang;RUAN Xinglong;LI Ming;WANG Chuanlin;LIANG Zhengyun;YU Tingjiang;LU Chao(Department of Emergency Surgery,Qianxinan People's Hospital,Xingyi Guizhou 562400,China)

机构地区：[1]黔西南州人民医院急诊外科,贵州兴义562400 [2]北京大学人民医院创伤救治中心,北京100044 [3]国家创伤医学中心,北京100044 [4]创伤救治与神经再生教育部重点实验室,北京100044

出　　处：《中国急救复苏与灾害医学杂志》2023年第7期863-866,共4页China Journal of Emergency Resuscitation and Disaster Medicine

基　　金：国家自然科学基金项目(编号:81901251)。

摘　　要：目的探讨创伤中心实体化建设对严重多发伤患者的影响。方法采用回顾性队列研究分析黔西南州人民医院2016年8月—2021年10月收治的严重多发伤患者187例的临床资料。其中,2016年8月—2019年8月即创伤中心实体化建设前37个月收治的110例严重多发伤患者作为对照组,2019年9月—2021年10月即创伤中心实体化建设后26个月收治的77例严重多发伤患者作为研究组。比较两组的全身快速CT检查完成时间、紧急输血时间、急诊停留时间、损伤控制手术申请到手术开始时间、损伤控制手术1 h内开始率、死亡率、ICU住院天数、总住院天数、总住院费用。结果研究组的全身快速CT检查完成时间、紧急输血时间、急诊停留时间、损伤控制手术申请到手术开始时间、总住院天数均短于对照组,损伤控制手术1 h内开始率高于对照组,差异有统计学意义(P<0.05)。两组的死亡率、ICU住院天数、总住院费用比较,差异无统计学意义(P>0.05)。结论创伤中心实体化建设能有效提升严重多发伤患者的救治效率,缩短救治时间。Objective To investigate the influence of entity construction of trauma center on patients with severe multiple injuries.Methods A retrospective cohort study was used to analyze the clinical data of 187 patients with severe multiple injuries admitted to Qianxinan People's Hospital from August 2016 to October 2021.Among them,110 patients with severe multiple injury admitted from August 2016 to August 2019,which was 37 months before the entity construction of the trauma center,were used as the control group,and 77 patients with severe multiple injury admitted from September 2019 to October 2021,which was 26 months after the entity construction of the trauma center,were used as the study group.Completion time of whole body fast CT examination,emergency blood transfusion time,emergency stay time,time from injury control operation application to operation start,start rate of injury control operation within one hour,mortality rate,number of days in ICU,total number of days in hospital,and total cost of hospitalization in two groups were compared.Results Completion time of whole body fast CT examination,emergency blood transfusion time,emergency stay time,time from injury control operation application to operation start and total number of days in hospital in the study group were shorter than those in the control group,start rate of injury control operation within one hour in the study group was higher than that in the control group,the differences were statistically significant(P<0.05).There were no significant differences between the two groups in mortality rate,number of days in ICU and total cost of hospitalization(P>0.05).Conclusion The entity construction of trauma center can effectively improve the treatment efficiency of patients with severe multiple injuries,shorten the treatment time.

关 键 词：创伤中心 死亡率 严重多发伤 实体化建设模式 

分 类 号：R641[医药卫生—外科学]