头面部伤员不同担架搬运策略对救治效果影响的比较  

Comparison of the Effects of Different Stretcher Transporting Strategies on the Outcome of Wounded with Head and Face Injuries

作　　者：于忠英[1] 田素科 李金雨[1] 黄令杰 郁毅刚[3] 孟莹 莫群[5] YU Zhongying;TIAN Suke;LI Jinyu;HUANG Lingjie;YU Yigang;MENG Ying;MO Qun(Department of Urinary Surgery,NO.909 Hospital of Joint Logistics Support Force of People's Liberation Army,Zhangzhou Fujian 363000,China)

机构地区：[1]联勤保障部队909医院(厦门大学附属东南医院)泌尿外科,福建漳州363000 [2]联勤保障部队909医院(厦门大学附属东南医院)卫勤处,福建漳州363000 [3]联勤保障部队909医院(厦门大学附属东南医院)急诊科,福建漳州363000 [4]联勤保障部队909医院(厦门大学附属东南医院)皮肤科,福建漳州363000 [5]联勤保障部队909医院(厦门大学附属东南医院)院部,福建漳州363000

出　　处：《联勤军事医学》2024年第3期242-245,共4页Military Medicine of Joint Logistics

基　　金：军队后勤科研重大项目(BLB18J006);漳州市科技拥军项目(ZZ2023KD04)。

摘　　要：目的比较头面部伤员不同搬运方法搬运伤员的救治效果。方法2022-08月于野外训练场,60对男性担架员和60名抢救员分别随机分为正向搬运组和反向搬运组,每组各30对担架员和30名抢救员。分别采用头在前的正向和脚在前的反向搬运法按规定路线将伤员搬运至目标地域。比较两组观察位担架员视线垂直角和伤员装载登车耗时。比较两组双人组观察位担架员、三人抢救小组抢救员日间和夜间条件下伤员病情变化发现率和发现时间。结果正向搬运组和反向搬运组担架员均可将伤员搬运至目标地域。正向搬运组观察位担架员视线垂直角和伤员装载登车耗时均小于反向搬运组(P均<0.05)。正向搬运组双人组观察位担架员、三人抢救小组抢救员的日间和夜间的病情发现率高于反向搬运组,病情发现时间短于反向搬运组(P均<0.05)。反向搬运组双人组观察位担架员、三人抢救小组抢救员夜间伤员病情发现率低于日间,病情发现时间长于日间(P均<0.05)。结论应用头在前的正向搬运法搬运头面部伤员安全有效,相比反向搬运法更便于发现病情变化且可提高伤员装载效率。Objective To compare the treatment effects of different transporting methods for wounded with head and face injuries.Methods At the field training ground,August 2022,60 pairs of male stretcher bearers and 60 rescuers were randomly divided into forward transport group and reverse transport group,with 30 pairs of stretcher bearers and 30 rescuers in each.The head in front forward and feet in front reverse transporting methods were used to transport the wounded to the target area respectively.The vertical angle of sight of the stretcher and the loading and boarding time of the wounded were com-pared between the two groups.The detection rate and detection time of the condition changes of the wounded were compared between the stretcher bearers in the observation positon in two-person rescue group and the rescuers in the three-person rescue group during the day and night.Results Strechers in both forward transport group and reverse transport group could transport the wounded to the target area successfully.The vertical angle of sight of the stretch-ers and the loading and boarding time of the wounded in the forward transport group were lower than those in the re-verse transport group(all P<0.05).The disease detection rates of day and night of the stretcher bearers in the ob-servation position in two-person rescue group and the rescuers in the three-person rescue group in the forward trans-port group were higher than those in the reverse transport group,and the disease detection time was shorter than that in the reverse transport group(all P<0.05).For the stretcher bearers in the observation position in two-person res-cue group and the rescuers in the three-person rescue group in the reverse transport group,the disease detection rate at night was lower than that in daytime,and the disease detection time was longer than that in daytime(all P<0.05).Conclusion It is safe and effective to use the forward transporting method with the head in front for the head and face wounded,compared with the reverse transport method,it is

关 键 词：野外 担架 伤员 搬运方法 

分 类 号：R826.1[医药卫生—临床医学]