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作 者:刘磊 Liu Lei(Department of Emergency,Guangzhou Tianhe District People's Hospital,Guangzhou 510660,Guangdong Province,China)
机构地区:[1]广州市天河区人民医院急诊科,广东广州510660
出 处:《中外医药研究》2024年第24期21-23,共3页JOURNAL OF CHINESE AND FOREIGN MEDICINE AND PHARMACY RESEARCH
摘 要:目的:分析协同式院前急救对脑挫伤患者的影响。方法:选取2019年5月—2021年5月广州市天河区人民医院收治的脑挫伤患者60例作为研究对象,随机分为对照组(接受传统院前急救干预)和试验组(接受协同式院前急救干预),各30例。比较两组救治时间、并发症发生情况、急救满意度、预后效果、住院时间及住院费用。结果:试验组到达现场时间、急救处理时间、转运时间及急救总时间均短于对照组,差异有统计学意义(P<0.001);试验组并发症发生率低于对照组,差异有统计学意义(P=0.020);试验组急救满意度高于对照组,差异有统计学意义(P=0.001);干预后,两组日常生活活动能力量表、Fugl-Meyer运动功能评分法评分均升高,试验组高于对照组,差异有统计学意义(P<0.05);试验组住院时间短于对照组,住院费用少于对照组,差异有统计学意义(P<0.001)。结论:协同式院前急救应用于脑挫伤患者中可有效缩短其救治时间,降低并发症发生率,改善预后,缩短住院时间,降低住院费用,提高急救满意度。Objective:To analyze the influence of cooperative pre-hospital emergency treatment on cerebral contusion patients.Methods:Sixty patients with cerebral contusion admitted to Guangzhou Tianhe District People's Hospital from May 2019 to May 2021 were selected as the study objects,and randomly divided into control group(receiving traditional pre-hospital emergency intervention)and experimental group(receiving cooperative pre-hospital emergency intervention),with thirty cases in each group.The time of treatment,the occurrence of complications,the satisfaction of first aid,the outcome of prognosis,the length of stay and the cost of hospitalization were compared between the two groups.Results:The arrival time,first aid treatment time,transport time and total first aid time of experimental group were shorter than those of control group,and the differences were statistically significant(P<0.001);the complication rate of experimental group was lower than that of control group,the difference was statistically significant(P=0.020);first aid satisfaction of experimental group was higher than that of control group,the difference was statistically significant(P=0.001);after intervention,the scores of activities of daily living scale and Fugl-Meyer motor function scoring were increased in both groups,and the experimental group was higher than the control group,the difference was statistically significant(P<0.05);the hospitalization time of experimental group was shorter than that of control group,and the hospitalization cost was less than that of control group,the difference was statistically significant(P<0.001).Conclusion:The application of cooperative pre-hospital emergency treatment in cerebral contusion patients can effectively shorten the treatment time,reduce the incidence of complications,improve the prognosis,shorten the hospitalization time,reduce the hospitalization cost,and increase the satisfaction of emergency treatment.
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