基于急诊外科医生主导的急诊床旁超声改良扩大创伤重点超声评估方案在胸腹多发创伤患者中的应用效果  

Effectiveness of Emergency Surgeon-led Emergency Bedside Ultrasound-based Modified Expanded Trauma focused Ultrasound Assessment Protocol in Patients with Thoracic and Abdominal Polytrauma

作　　者：张伟洪 Zhang Weihong(Department of Emergency Medicine,Dongguan Huangjiang Hospital,Dongguan 523000,Guangdong Province,China)

机构地区：[1]东莞市黄江医院急诊科,广东东莞523000

出　　处：《中外医药研究》2024年第13期135-137,共3页JOURNAL OF CHINESE AND FOREIGN MEDICINE AND PHARMACY RESEARCH

摘　　要：目的:探讨基于急诊外科医生主导的急诊床旁超声改良扩大创伤重点超声评估方案在胸腹多发创伤患者中的应用效果。方法:选取2022年1月—2023年11月东莞市黄江医院急诊科收治的胸腹多发创伤患者60例作为研究对象,采用随机数字表法分为对照组与观察组,各30例。对照组应用常规超声方案,观察组应用基于急诊外科医生主导的急诊床旁超声改良扩大创伤重点超声评估方案。将手术探查结果作为“金标准”,比较两组各部位损伤检出率、总检出率及急救效率。结果:两组各部位损伤检出及总检出率比较,差异无统计学意义(P>0.05)。观察组入院至完成超声检查时间、完成超声检查至手术时间、住院时间短于对照组,抢救成功率高于对照组,差异有统计学意义(P<0.05)。结论:基于急诊外科医生主导的急诊床旁超声改良扩大创伤重点超声评估方案在胸腹多发创伤患者中的应用效果显著,可提高急救效率,且不影响损伤检出率。Objective:To investigate the application effect of emergency surgeon-led emergency bedside ultrasound-based modified expanded trauma-focused ultrasound assessment program in patients with thoracic and abdominal polytrauma.Methods:Sixty patients with thoracic and abdominal polytrauma admitted to the Department of Emergency Medicine,Dongguan Huangjiang Hospital from January 2022 to November 2023 were selected as the study subjects,and were divided into the control group and the observation group using the randomized numerical table method,each with thirty cases.The control group applied the conventional ultrasound protocol,and the observation group applied the modified expanded trauma-focused ultrasound assessment protocol based on emergency surgeon-led emergency bedside ultrasound.The detection rate,total detection rate,and emergency efficiency of the two groups were compared using the results of surgical exploration as the"gold standard".Results:Compared with the two groups,there was no statistically significant difference in the detection rate and total detection rate of injuries in various parts of the body(P>0.05);the time from admission to the completion of ultrasound examination,the time from the completion of ultrasound examination to the operation,and the hospitalization time of the observation group were shorter than that of the control group,and the success rate of rescue was higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusion:The application of a modified expanded trauma-focused ultrasound assessment protocol based on emergency surgeon-led emergency bedside ultrasound in patients with thoracic and abdominal polytrauma is effective in improving the efficiency of resuscitation and does not affect the injury detection rate.

关 键 词：急诊外科 胸腹多发创伤 改良扩大创伤重点超声评估方案 

分 类 号：R641[医药卫生—外科学]