可视化信息交互系统在严重创伤患者院前急救中的效果评价  

Effectiveness of a visual information interaction system in prehospital care of severe trauma patients

作　　者：李兴珍[1] 党星波[1] 苏晓丽[1] 密弘飞 鲁宗高 王华[2] 韩冬 郑芸辉 Li Xingzhen;Dang Xingbo;Su Xiaoli;Mi Hongfei;Lu Zonggao;Wang Hua;Han Dong;Zheng Yunhui(Emergency Surgery Department,Shaanxi Provincial People’s Hospital,Xi’an710061,China;Pre-hospital Emergency Department,Shaanxi Provincial People’s Hospital,Xi’an710061,China;Cardiovascular Department 1,Shaanxi Provincial People’s Hospital,Xian710061,China)

机构地区：[1]陕西省人民医院急诊外科,西安710061 [2]陕西省人民医院院前急救科,西安710061 [3]陕西省人民医院心血管内一科,西安710061

出　　处：《创伤外科杂志》2024年第1期16-20,共5页Journal of Traumatic Surgery

基　　金：重点产业创新链(群)——社会发展领域(2023-ZDLSF-42)。

摘　　要：目的探讨可视化信息交互系统在严重创伤患者院前急救中的应用效果评价。方法回顾性分析2020年10月1日—2021年9月30日陕西省人民医院院前急救科未使用可视化信息系统的112例患者作为对照组,实施常规院前急救,男性78例,女性34例;年龄18~74岁,平均43.1岁;道路交通伤81例,高处坠落伤16例,刀砍伤12例,爆炸伤3例。2021年10月1日—2022年9月30日的107例患者作为观察组,应用可视化信息交互系统,该系统包含院前急诊可视化、救护车版、急诊室版、医护版、实现信息共享及数据沉淀,完成质控数据上报国家创伤医学中心。观察组应用该系统进行院前院内患者信息传输、病情评估衔接及院前病历书写,男性75例,女性32例;年龄18~74岁,平均44.9岁;道路交通伤79例,高处坠落伤15例,刀砍伤10例,爆炸伤3例。比较两组患者院前院内衔接相关指标、抢救效率相关指标、院前病历完成情况和并发症情况。结果观察组院前诊断时间、院内预警准备时间、院内交接时间短于对照组[(5.0±1.7)min vs.(7.9±1.8)min、11(8,14)min vs.18(16,19)min、(3.3±0.9)minvs.(4.7±1.3)min,P均<0.05],而到达院内时间比较差异无统计学意义(P>0.05);观察组的急救成功率明显高于对照组(93.5%vs.87.5%,P<0.001);观察组的急诊手术准备时间、院前病历完成时间明显短于对照组,病历完整度明显高于对照组(P<0.05)。两组患者失血性休克和多器官功能障碍综合征并发症发生率比较差异无统计学意义(P>0.05),但急性呼吸窘迫综合征发生率观察组明显低于对照组(P<0.05)。结论可视化信息交互平台的使用,可提升严重创伤院前救治效果,院前院内衔接顺畅,可提高严重创伤救治成功率,降低并发症发生率,改善院前病历质量。Objective To explore the effectiveness of a visual information interaction(Ⅶ)system in prehospital care of patients with severe trauma.Methods A retrospective study was conducted on severe trauma patients who received prehospital care at the Shaanxi Provincial Peoples Hospital before(from Oct.1,2020 to Sep.30,2021,control group)and after the use of theⅦsystem(Oct.1,2021 to Sep.30,2022,observational group).TheⅦsystem provides visualization of pre-hospital first aid,ambulance aid,emergency room aid,and doctor-nurse version to share real-time information,record data and upload required data to the national trauma center.There were 112 patients in the control group who received routine prehospital rescue,with 78 males and 34 females aged 18-74 years,mean 43.1 years;81 road traffic injuries,16 falls from height,12 knife injuries and 3 explosion injuries.There were 107 patients in the observational group,with 75 males and 32 females aged 18-74 years,mean 44.9 years;79 road traffic injuries,15 falls from height,10 knife injuries and 3 explosion injuries.For this group,theⅦsystem was adopted to do pre-and in-hospital patientsgeneral information sharing,patientsstatus assessment and handover,and prehospital medical documentation.Indicators related to pre-and in-hospital handover and rescue ef-ficiency,completion of medical records,and complications were compared between the two groups.Results Com-pared with the control group,the observation group had a much shorter prehospital diagnosis time(min,5.0±1.7 min vs.7.9±1.8),in-hospital warning preparation time[min,11(8,14)vs.18(16,19)],and in-hospital han-dover time(min,3.3±0.9 vs.4.7±1.3,all P<0.05).The time to arrive at the hospital revealed no significant difference(P>0.05).Moreover,the observational group showed a significantly higher success rate of emergency rescue(93.5%vs.87.5%,P<0.001),shorter emergency surgery preparation time,quicker prehospital medical documentation,and better medical record completeness(all P<0.05).As for the complications,no statistica

关 键 词：严重创伤 可视化信息交互系统 院前急救 

分 类 号：R605.97[医药卫生—急诊医学]