院前院内一体化救治模式对严重创伤患者的救治效果  

Study on effect of integrated pre-hospital and in-hospitaltreatment model on patients with severe trauma

作　　者：沈宗欢 姚志斌 王瑢 SHEN Zonghuan;YAO Zhibin;WANG Rong(Department of Emergency,Xinyu People's Hospital,Xinyu 338000,Jiangxi,China)

机构地区：[1]江西省新余市人民医院急诊科,江西新余338000

出　　处：《右江医学》2024年第5期412-416,共5页Chinese Youjiang Medical Journal

基　　金：新余市社会发展指导性计划项目(20233090886)。

摘　　要：目的探究院前院内一体化救治模式对严重创伤患者救治的价值。方法选取新余市人民医院2021年8月—2022年8月行传统救治模式的96例严重创伤患者(实施前组);再选取2022年9月—2023年9月行院前院内一体化救治模式的96例严重创伤患者(实施后组);比较实施前后救治效果[从死亡率、休克发生率、多器官功能障碍综合征(MODS)发生率方面评估]、救治时间(院前急救反应用时、院内急诊用时、ICU停留时间、住院时间);于救治前后,比较损伤严重程度[损伤严重程度评分(ISS)]。并比较实施前后患者家属满意度。结果与实施前组比较,实施后组死亡率、休克发生率及MODS发生率更低,家属满意度更高(P<0.05);实施后组院前急救反应用时、ICU停留时间及住院时间均短于实施前组,且院内急诊用时长于实施前组(P<0.001);实施后组患者ISS评分低于实施前组(P<0.001)。结论院前院内一体化救治模式具有高效、快速等优势,应用于严重创伤患者中,能够提高救治效果,降低死亡率。Objective To explore the value of integrated pre-hospital and in-hospital treatment model for severe trauma patients.Methods 96 severe trauma patients(pre-implementation group)who underwent traditional treatment model at Xinyu People's Hospital from August 2021 to August 2022 were selected(pre-implementation group);and 96 severe trauma patients who underwent integrated pre-hospital and in-hospital treatment model from September 2022 to September 2023 were selected(post-implementation group).And the effectiveness of treatment(assessment in terms of mortality,shock incidence,and the incidence of multiple organ dysfunction syndrome[MODS])and treatment time(pre-hospital emergency response time,in-hospital emergency time,ICU stay time,and length of stay)before and after implementation were compared.Injury severity(injury severity score[ISS])was compared before and after treatment.In addition,the satisfaction of patients'family members before and after implementation was compared.Results Compared with the pre-implementation group,the incidence of mortality,shock and MODS was lower in the post-implementation group,and the satisfaction of patients'family members was higher(P<0.05).The emergency response time,ICU stay time,and length of stay of the post-implementation group was shorter than that of the pre-implementation group,and in-hospital emergency time was longer than that of the pre-implementation group(P<0.001);the ISS score of patients in the post-implementation group was lower than that of the patients in the pre-implementation group(P<0.001).Conclusion Integrated pre-hospital and in-hospital treatment model has the advantages of high efficiency and speed,which can improve treatment effectiveness and reduce mortality when applied to patients with severe trauma.

关 键 词：严重创伤 传统救治 一体化救治 救治效果 救治时间 

分 类 号：R473.6[医药卫生—护理学]