创伤中心实体化建设对严重多发伤患者的影响分析  

Effect Analysis of Physical Construction of Trauma Center for Patients with Severe Multiple Injuries

作　　者：韦勇 李海峰 黄燕萍 周靖国 WEI Yong;LI Haifeng;HUANG Yanping;ZHOU Jingguo(Emergency Medicine Department,Guangxi Liugang Medical Co.,Ltd.Hospital,Liuzhou,Guangxi,545001)

机构地区：[1]广西柳钢医疗有限公司医院急诊医学科,广西柳州545001

出　　处：《智慧健康》2024年第18期172-174,共3页Smart Healthcare

摘　　要：目的探讨创伤中心实体化建设对严重多发伤患者的影响。方法选取2021年9月—2022年8月(未建立创伤中心时)收治的28例严重多发伤患者作为对照组研究对象,选取2023年2月—2023年10月(建立创伤中心时)收治的22例严重多发伤患者作为观察组研究对象。对比两组的CT检查完成时间、急诊停留时间、输血时间、ICU住院时间、总住院时间、总住院费用、损伤控制手术1h内开始率及死亡率。结果观察组的CT检查完成时间、急诊停留时间、输血时间均短于对照组(P<0.05);观察组的ICU住院时间、总住院时间均短于对照组,总住院费用低于对照组(P<0.05);损伤控制手术1h内开始率高于对照组(P<0.05),且观察组死亡率低于对照组(P<0.05)。结论创伤中心实体化建设可提升严重多发伤患者的急救效率,缩短治疗时间,还可降低死亡率,值得推广实施。Objective To explore effect of physical construction of trauma center on patients with severe multiple injuries.Methods The paper reviewed and analyzed 28 patients with severe multiple injuries from September 2021 to August 2022 as control group(when no trauma center was established).The physical trauma center was established in our hospital in September 2022 and launched level I trauma center evaluation in April 2023.The trauma center pre hospital warning linkage system was launched in February 2023.The paper chose 22 patients with severe multiple injuries from February 2023 to October 2023 as observation group,and compared CT examination completion time,emergency stay time,blood transfusion time,ICU length of stay,total length of stay,total hospitalization cost,injury control surgery start rate within 1 hour,and mortality rate between two groups.Results CT examination completion time,emergency stay time,blood transfusion time,ICU length of stay,total length of stay,total hospitalization cost,no mortality rate in observation group was lower than control group,difference was statistically significant(P<0.05).Starting rate of injury control surgery within 1 hour was higher than control group,difference was statistically significant(P<0.05).Conclusion Physical construction of trauma center can improve emergency response efficiency of patients with severe multiple injuries,shorten treatment time,and reduce mortality rate,which is worthy of promotion and application.

关 键 词：创伤中心 实体化建设 严重多发伤 住院时间 住院成本 死亡率 

分 类 号：R641[医药卫生—外科学]