成人急性严重创伤患者“零通道”启动的指标分析  

Indicators analysis of“zero channel”initiation in adult patients with acute severe trauma

作　　者：沈蓝 陈朝明 代建能 周志聪 邓学林 张杨姝钰 苏小梅 谭磊 SHEN Lan;CHEN Chaoming;DAI Jianneng;ZHOU Zhicong;DENG Xuelin;ZHANG Yangshuyu;SU Xiaomei;TAN Lei(Emergency and Critical Care Center,Affiliated Honghe Hospital of Kunming Medical University,Honghe,Yunnan 661199,China)

机构地区：[1]昆明医科大学附属红河医院急重症中心,云南红河661199

出　　处：《重庆医学》2024年第14期2202-2206,共5页Chongqing medicine

基　　金：云南省科技厅-昆明医科大学应用基础研究联合专项基金项目(202301AY070001-040);青岛大学医疗集团科研基金项目(YLJT20222013)。

摘　　要：目的对成人急性严重创伤患者开展院前急救的评估指标进行分析,为急救工作“零通道”的启动提供循证依据。方法利用计算机在PubMed、Medline、Embase、Cochrane Central Register of Controlled Trials、中国知网检索专家共识、临床研究、指南、系统评价等文献,检索时间2013年1月至2023年11月。根据标准筛选出文献后,采用不同工具进行质量评价和证据分级。结果共纳入8篇文献,其中4篇临床研究,2篇专家共识,2篇系统评价。最终总结了10项成人急性严重创伤患者“零通道”启用的循证依据。结论该研究总结了成人急性严重创伤患者“零通道”启动的相关指标,有助于临床医护人员及时启动急救“零通道”,提高抢救成功率。Objective To analyze the evaluation indicators of pre-hospital first aid for adult patients with acute severe trauma to provide the evidence-based basis for the initiation of“zero channel”in first aid work.Methods The literatures such as expert consensus,clinical research,guideline and systematic review were retrieved from PubMed,Medline,Embase,Cochrane Central Register of Controlled Trials,and China Knowledge Network by computer.The retrieval time was from January 2013 to November 2023.After screening the literatures according to the standard,the quality evaluation and evidence grading were conducted by adopting different tools.Results A total of 8 literatures were included,including 4 clinical studies,2 expert consensus and 2 systematic reviews.Finally,10 evidence-based evidences for the initiation of“zero channel”in adult patients with acute severe trauma were summarized.Conclusion This study summarizes the relevant indicators of“zero channel”initiation in the adult patients with acute severe trauma,which is helpful for clinical medical staff to start the first aid“zero channel”in time and increase the success rate of rescue.

关 键 词：急性严重创伤 院前急救 急救工作 零通道 评估指标 循证依据 META分析 

分 类 号：R459.7[医药卫生—急诊医学]