创伤一体化集中救治模式对严重多发伤的救治效果研究  

Study on remedy effect of trauma integrated centralized treatment model in severe multiple injuries

作　　者：龙新华[1] 曾元临[1,2] 刘承远[1] 陈翔[1] 陈海鸣[1] LONG Xinhua;ZENG Yuanlin;LIU Chengyuan;CHEN Xiang;CHEN Haiming(Trauma Center,First Affiliated Hospital of Nanchang University,Nanchang,Jiangxi 330000,China;Burn Center,First Affiliated Hospital of Nanchang University,Nanchang,Jiangxi 330000,China)

机构地区：[1]南昌大学第一附属医院创伤中心,南昌330000 [2]南昌大学第一附属医院烧伤中心,南昌330000

出　　处：《重庆医学》2024年第7期1070-1073,1079,共5页Chongqing medicine

摘　　要：目的探讨江西省1级创伤中心创伤一体化集中救治模式对严重多发伤患者救治效果的影响。方法选取2016年1月至2018年12月该院收治的671例严重多发伤患者(对照组)及2019年1月至2021年4月江西省1级创伤中心成立后救治的337例严重多发伤患者(研究组)为研究对象。比较两组患者一般资料、住院时间、从就诊到完成CT检查时间、开始输血时间、抢救室滞留时间、急诊手术患者入手术室时间及院内病死率等。结果研究组与对照组患者性别、年龄、致伤原因及创伤严重程度(ISS)评分等一般资料及住院时间、治疗费用比较差异无统计学意义(P>0.05)。研究组患者30 min内完成CT检查率(55.79%vs.35.93%,P<0.001)、30 min内开始输血率(60.00%vs.10.64%,P<0.001)、急诊手术患者1 h内入手术室率(42.07%vs.16.31%,P=0.015)均明显高于对照组,差异有统计学意义;研究组抢救室滞留时间[55(40,71)min vs.96(75,120)min,P<0.001]及院内死亡率(3.86%vs.8.38%,P<0.001)明显低于对照组,差异有统计学意义。结论创伤一体化集中救治模式实现了多发伤患者的集中治疗,优化了救治流程及运行模式,有效地缩短了救治等待时间,提高了救治效率,降低了患者的病死率,值得进一步推广。Objective To explore the influence of trauma integrated centralized treatment model of the level 1 trauma center in Jiangxi Province on the remedy effect of the patients with severe multiple injuries.Methods A total of 671 cases of severe multiple injuries(control group)admitted and treated in this hospital from January 2016 to April 2021 and 337 patients with severe multiple injuries(study group)treated in the level 1 trauma center in Jiangxi Province after its establishment from January 2019 to April 2021 were selected as the research subjects.The general data,hospital stay duration and cost,time from the visit to the completion of the CT examination,time of starting blood transfusion,emergency room holdup time,time of emergency surgery patients entering the operating room and hospital mortality rate were compared between the two groups.Results There was no statistically significant difference in the general data such as gender,age,cause of injury and ISS score between the study group and the control group,as well as the average length of hospital stay and cost(P>0.05).The completion rate of CT examination within 30 min(55.79%vs.35.93%,P<0.001),blood transfusion beginning rate within 30 min(60.00%vs.10.64%,P<0.001),and the rate of entering the operating room within 1 h of the patients undergoing emergency surgery(42.07%vs.16.31%,P=0.015)in the study group were significantly higher than those in the control group,and the differences were statistically significant(P<0.05).The emergency room holdup time[55(40,71)min vs.96(75,120)min,P<0.001]and hospital mortality rate(3.86%vs.8.38%,P<0.001)in the study group were significantly lower than those in the control group,and the differences were statistically significant.Conclusion The trauma integrated centralized treatment model realizes the concentrate treatment of the patients with multiple injuries,optimized the remedy process and operating mode,effectively shortens the treatment waiting time,increases the remedy efficiency and decreases the mortality rate of the pa

关 键 词：创伤中心 急救模式 严重多发伤 损伤严重度评分 救治效果 

分 类 号：R641[医药卫生—外科学]