损伤控制联合外伤急救在急诊创伤性颅脑损伤中的应用效果  

Application Effect of Damage Control Combined with Trauma First Aid in Emergency Traumatic Craniocerebral Injury

作　　者：林虔[1] LIN Qian(Xiamen Hospital of Traditional Chinese Medicine,Xiamen 361000,China)

机构地区：[1]厦门市中医院,福建厦门361000

出　　处：《中外医学研究》2023年第28期173-176,共4页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:探讨损伤控制联合外伤急救在急诊创伤性颅脑损伤中的应用效果。方法:选择2019年6月—2022年6月厦门市中医院收治的81例创伤性颅脑损伤患者作为研究对象,采用随机数表法将患者分为研究组(n=41)和对照组(n=40)。对照组给予外伤急救,研究组给予损伤控制联合外伤急救。比较两组抢救效果、检查返抢时间、会诊到达时间、抢救室滞留时间、病房交接时间,入院时、抢救后1 d美国国立卫生研究院卒中量表评分(NIHSS评分)、神经病残疾评分(NDS评分)、伤情严重程度评分(ISS评分)、急性生理学与慢性健康状况评分(APACHEⅡ评分)、格拉斯哥昏迷评分(GCS),并发症发生情况。结果:研究组检查返抢时间、会诊到达时间、抢救室滞留时间、病房交接时间短于对照组,差异有统计学意义(P<0.05)。研究组抢救后1 d的NIHSS评分、NDS评分、ISS评分、APACHEⅡ评分低于对照组,GCS评分高于对照组,差异有统计学意义(P<0.05)。两组并发症发生率比较,差异有统计学意义(P<0.05)。研究组抢救效果优于对照组,差异有统计学意义(P<0.05)。结论:急诊创伤性颅脑损伤患者应用损伤控制联合外伤急救效果显著,可有效缩短抢救时间,降低并发症发生率。Objective:To study the application effect of damage control combined with trauma first aid in emergency traumatic craniocerebral injury.Method:A total of 81 patients with traumatic craniocerebral injury who admitted to Xiamen Hospital of Traditional Chinese Medicine from June 2019 to June 2022 were selected as the study objects,the patients were divided into the study group(n=41)and the control group(n=40)by random number table method.The control group was given trauma first aid,and the study group was given damage control combined with trauma first aid.The rescue effect,examination return time,consultation arrival time,rescue room retention time,ward handover time,National Institutes of Health stroke scale score(NIHSS score),neurological disability score(NDS score),injury severity score(ISS score),acute physiology and chronic health status score(APACHEⅡscore),Glasgow coma score(GCS)on admission and 1 d after rescue and complications were compared between two groups.Result:The examination return time,consultation arrival time,rescue room retention time and ward handover time of the study group were shorter than those of the control group,the differences were statistically significant(P<0.05).The NIHSS score,NDS score,ISS score and APACHEⅡscore of the study group at 1 d after rescue were lower than those of the control group,and the GCS score was higher than that of the control group,the differences were statistically significant(P<0.05).There was significant difference in the incidence of complications between two groups(P<0.05).The rescue effect of the study group was better than that of the control group,the difference was statistically significant(P<0.05).Conclusion:The application of damage control combined with trauma first aid in patients with emergency traumatic craniocerebral injury has a significant effect,which can effectively shorten the rescue time and reduce the incidence of complications.

关 键 词：损伤控制 外伤急救 急诊 创伤性颅脑损伤 抢救时间 

分 类 号：R651.15[医药卫生—外科学]