重型车祸病人的急救护理与早期危险因素评估与处理  

Emergency Nursing,Early Risk Factor Assessment and Management of Patients with Severe Traffic Accidents

作　　者：高红梅 卢道鹏 GAO Hongmei;LU Daopeng(Jinan City Emergency Center,Jinan,Shandong 250001)

机构地区：[1]济南市急救中心,山东济南250001

出　　处：《智慧健康》2024年第23期180-184,共5页Smart Healthcare

摘　　要：目的研究重型车祸病人的急救护理与早期危险因素评估与处理。方法选取2020年3月—2023年3月本院接收的120例重型车祸患者为研究对象,根据收治时间分为对照组(2020年3月—2021年9月,常规急救护理)和观察组(2021年10月—2023年3月,实施院前院内一体化急救护理),每组60例。观察两组的急救效果,对患者的预后早期危险因素进行评估。结果观察组的急诊反应时间、接诊时间、现场救治时间、转运时间、院内急救救治时间均短于对照组,抢救成功率高于对照组,而并发症发生率低于对照组,差异有统计学意义(P<0.05);观察组的恢复良好率、护理质量评分均高于对照组,GOS分级情况较对照组更优,差异有统计学意义(P<0.05);影响重型车祸患者预后的独立危险因素为年龄≥60岁、受伤至院前急救时间≥3h、GCS评分<6分、急性创伤性凝血病、多器官功能障碍综合征(MODS)(P<0.05)。结论院前院内一体化急救护理应用于重型车祸患者中具有较好的急救效果,可获得良好预后,但年龄、受伤至院前急救时间等因素会对预后产生一定影响,因此需要采取针对性的干预措施。Objective To study emergency nursing and early risk factor assessment and management of patients with severe traffic accidents.Methods The paper chose 120 patients with severe traffic accidents in our hospital from March 2020 to March 2023,and divided them into control group(n=60,treated with routine emergency nursing)and observation group(n=60,with pre hospital and in hospital integrated emergency nursing)according to admission time.Emergency effect was observed,early prognostic risk factors were evaluated between two groups.Results Emergency response time,reception time,on-site treatment time,transfer time,and hospital emergency treatment time of observation group was shorter than control group,with higher success rate of rescue and lower incidence of complications than control group,with statistical significance,(P<0.05).Recovery rate and nursing quality scores of observation group were higher than control group,and GOS grading was better than control group,with statistical significance(P<0.05).Independent risk factors affecting prognosis of patients with severe affect accidents were age≥60,injury to pre hospital emergency treatment time≥3 hours,GCS scores<6 points,acute traumatic coagulation disease and MODS,(P<0.05).Conclusion Integrated pre hospital and in hospital emergency nursing can achieve good emergency effect and prognosis for patients with severe traffic accidents.However,factors of age and injury to pre hospital emergency care time can have some certain effect on prognosis,so targeted intervention measures should to be taken.

关 键 词：重型车祸 急救护理 危险因素 

分 类 号：R473.6[医药卫生—护理学]