严重胸部外伤患者院前急救与控制性手术急救护理的研究  

A Study of Prehospital Emergency Care and Emergency Care for Controlled Surgery in Patients With Severe Thoracic Trauma

作　　者：雷加英 辛宁 张梅[1] LEI Jiaying;XIN Ning;ZHANG Mei(960 TH People's Liberation Army Support Unit Hospital Department of Thoracic Surgery,Jinan 250031,China)

机构地区：[1]中国人民解放军联勤保障部队第九六○医院胸外科,山东济南250031

出　　处：《中华灾害救援医学》2024年第8期991-993,共3页Chinese Journal of Disaster Medicine

摘　　要：目的分析院前急救与控制性手术急救护理在严重胸部外伤患者中的应用效果。方法回顾性收集2022年1月至2023年12月本院收治的80例严重胸部外伤患者病例资料,根据护理干预方式的不同,分为对照组与观察组,每组各40。对照组采用院前急救与常规急救护理,观察组采用急救与控制性手术急救护理,对比两组患者临床指标、疼痛程度、护理满意度。结果观察组患者出血量显著少于对照组(P<0.001);且观察组乳酸清除时间、凝血功能恢复时间、体温恢复时间、住院时间均显著短于对照组(P<0.001)。干预后,两组患者视觉模拟评分法(Visual Analogue Scale,VAS)评分均降低(P<0.001),且观察组患者VAS评分显著低于对照组(P<0.001)。观察组中39例(97.50%)患者对护理满意,高于对照组中的32例(80.00%),P=0.013。结论院前急救与控制性手术急救护理可明显改善严重胸部外伤患者的临床指标,缩短恢复时间,降低患者疼痛程度,有效提高患者护理满意度和抢救成功率。Objective To analyze the effectiveness of pre-hospital emergency care and controlled surgical emergency nursing in patients with severe chest trauma.Methods A retrospective analysis was conducted on 80 cases of severe chest trauma treated in our hospital from January 2022 to December 2023.The patients were divided into two groups based on the type of nursing intervention:the control group(n=40)and the observation group(n=40).The control group received pre-hospital emergency care combined with standard emergency nursing,while the observation group received emergency care combined with controlled surgical emergency nursing.Clinical indicators,pain levels,and nursing satisfaction were compared between the two groups.Results The observation group had significantly less blood loss compared to the control group(P<0.001).Additionally,the observation group showed significantly shorter lactate clearance time,coagulation function recovery time,temperature recovery time,and hospital stay duration compared to the control group(P<0.001).Post-intervention,VAS scores decreased in both groups(P<0.001),with the observation group showing significantly lower VAS scores than those of the control group(P<0.001).In the observation group,39 patients were satisfied with the nursing care(97.50%),which was higher than that(32 patients,80.00%)in the control group(P>0.013).Conclusion Pre-hospital emergency care combined with controlled surgical emergency nursing can significantly improve clinical indicators,shorten recovery time,reduce pain levels,and effectively enhance patient satisfaction and rescue success rates in patients with severe chest trauma.

关 键 词：急救 手术中护理 护理 胸部损伤 

分 类 号：R473.6[医药卫生—护理学]