损伤控制联合外伤急救对创伤性颅脑损伤抢救效率及评分改善研究  

A Study on the Efficiency and Score Improvement of Traumatic Craniocerebral Injury Rescue by Damage Control Combined with Traumatic First Aid

作　　者：连江波 黄婷婷 LIAN Jiangbo;HUANG Tingting(Emergency Department of Putian First Hospital,Putian 351100,China;Orthopedics Department of Putian First Hospital,Putian 351100,China)

机构地区：[1]莆田市第一医院急诊科,福建莆田351100 [2]莆田市第一医院骨科,福建莆田351100

出　　处：《中华灾害救援医学》2024年第1期30-33,共4页Chinese Journal of Disaster Medicine

摘　　要：目的探究分析损伤控制联合外伤急救对急诊创伤性颅脑损伤患者进行抢救所产生的效果.方法随机选取2020年5月至2021年5月莆田市第一医院收治的80例急诊创伤性颅脑损伤患者作为受试者,以数字表法的规则将他们分为对照组和观察组.其中,40例对照组的患者采用常规的外伤急救,40例观察组的患者则在对照组的基础上另外采用损伤控制.比较评估两组患者经过对应模式干预后的抢救效率、神经功能缺损评分(National Institute of Health Stroke Scale,NIHSS)、神经残疾评分(Neurological Disability Score,NDS)以及患者满意度情况.结果观察组干预后的抢救成功率(95.00%)比对照组的(72.50%)高(P<0.05);在NIHSS评分上,与对照组相比,观察组干预后的意识水平、肢体共济运动以及构音障碍的评分均较低(P<0.05);在NDS评分上,通过对比可知,观察组干预后的脑神经、肌无力以及反射与感觉的评分比对照组低(P<0.05);经过干预后,观察组患者的满意度比对照组高(P<0.05).结论应用损伤控制联合外伤急救能够提高急诊创伤性颅脑损伤患者的抢救效率,有助于患者各方面功能的恢复,同时改善了患者的预后结果,增加其对抢救工作的满意度,具有较明显的效果.Objective To explore and analyze the effect of injury control combined with traumafirst aid on emergency rescue of patients with traumatic brain injury.Methods 80 patients with emergency traumatic brain injury admitted to our hospital from May 2020 to May 2021 were randomly selected,and they were divided into the control group and the observation group using the number table method.Among them,the 40 patients in the control group received routine trauma first aid,while the 40 patients in the observation group received additional injury control on top of the control group.We compare and evaluate the rescue efficiency,NIHSS score,NDS score,and pa-tient satisfaction of the two groups of patients after corresponding intervention modes.Results The success rate of rescue in the observation group after intervention(95.00%)was higher than that in the control group(72.50%)(P<0.05);In terms of NIHSS score,compared with the control group,the observation group had lower levels of consciousness,limb ataxia,and articulation disorders after intervention(P<0.05);In terms of NDS score,it can be seen through comparison that the observation group had lower scores in brain nerves,muscle weakness,reflex and sensation after intervention compared to the control group(P<0.05);After intervention,the satisfaction of patients in the observation group was higher than that in the control group(P<0.05).Conclusion The ap-plication of injury control combined with traumafirst aid can improve the rescue efficiency of emergency traumatic brain injury patients,contribute to the recovery of various functions of patients,improve the prognosis of patients,increase their satisfaction with rescue work,and have significant practical effects.

关 键 词：损伤控制联合外伤急救 急诊创伤性颅脑损伤 NIHSS评分 NDS评分 

分 类 号：R605.97[医药卫生—急诊医学]