一体化创伤急救模式对严重多发伤患者抢救效果及MODS发生率的影响  

Impact of integrated trauma emergency model on the rescue effect and MODS incidence in patients with severe multiple injuries

作　　者：赵向阳 杨李鹏[1] 陈艳梅[1] 张秀谦[1] 董慧文 张振梁[2] 张凯祥 Zhao Xiangyang;Yang Lipeng;Chen Yanmei;Zhang Xiuqian;Dong Huiwen;Zhang Zhenliang;Zhang Kaixiang(Department of Emergency,The First Affiliated Hospital of Hebei North University,Zhangjiakou Hebei 075000,China;Department of Trauma Emergency Surgery,The First Affiliated Hospital of Hebei North University,Zhangjiakou Hebei 075000,China)

机构地区：[1]河北北方学院附属第一医院急诊科,河北张家口075000 [2]河北北方学院附属第一医院创伤急救外科,河北张家口075000

出　　处：《保健医学研究与实践》2024年第10期134-139,共6页Health Medicine Research and Practice

基　　金：河北省卫生健康委员会科研基金项目(20220030)。

摘　　要：目的探讨一体化创伤急救模式对严重多发伤患者抢救效果及多器官功能障碍综合征(MODS)发生率的影响,以期为严重多发伤患者的救治提供参考。方法选取2021年8月—2023年7月河北北方学院附属第一医院进行抢救的112例严重多发伤患者的临床资料进行回顾性分析,将2021年8月—2022年7月采用常规急救模式的56例患者作为对照组,将2022年8月—2023年7月采用一体化创伤急救模式的56例患者作为观察组。比较2组患者的抢救效果、抢救效率、MODS和休克发生率以及护理满意度。结果观察组患者的抢救成功率、治愈率高于对照组,术前死亡率低于对照组,差异均有统计学意义(P<0.05);2组患者术后死亡率比较,差异无统计学意义(P>0.05)。观察组患者的院前急救时间、急诊停留时间、术前检查时间、多科室会诊时间及住院时间均短于对照组,差异均有统计学意义(P<0.05)。观察组患者的MODS发生率和休克发生率均低于对照组,差异均有统计学意义(P<0.05)。观察组家属护理总满意率为94.64%(53/56),高于对照组的80.36%(45/56),差异有统计学意义(χ^(2)=5.225,P=0.022)。结论一体化创伤急救模式应用于严重多发伤患者的抢救中,能够有效提高抢救效果与抢救效率,降低MODS和休克的发生风险,提高护理满意度。Objective To explore the impact of the integrated trauma emergency model on the rescue effect and the incidence of multiple organ dysfunction syndrome(MODS)in patients with severe multiple injuries,aiming to provide a reference for the treatment of such patients.Methods A retrospective analysis was conducted on the clinical data of 112 patients with severe multiple injuries who were rescued at the First Affiliated Hospital of Hebei North University from August 2021 to July 2023.Patients who were treated with the conventional emergency model from August 2021 to July 2022(n=56)were assigned to the control group,and those treated with the integrated trauma emergency model from August 2022 to July 2023(n=56)to the observation group.The rescue effect,rescue efficiency,incidence of MODS and shock,and degree of satisfaction with nursing were compared between the two groups.Results The rescue success rate and cure rate in the observation group were higher than those in the control group,and the preoperative mortality rate was lower than that in the control group,with statistically significant differences(P<0.05).No significant difference was noted in postoperative mortality rate between the two groups(P>0.05).The pre-hospital emergency time,emergency department stay time,preoperative examination time,multi-department consultation time,and length of hospital stay in the observation group were all significantly shorter than those in the control group(P<0.05).The incidence of MODS and shock in the observation group was significantly lower than that in the control group(P<0.05).The overall satisfaction rate of nursing care among the families of patients in the observation group was significantly higher than that in the control group[94.64%(53/56)vs.80.36%(45/56);χ^(2)=5.225,P=0.022].Conclusion The application of the integrated trauma emergency model in the rescue of patients with severe multiple injuries can effectively strengthen the rescue effect and efficiency,reduce the risk of MODS and shock,and increase degree of sati

关 键 词：一体化创伤急救模式 严重多发伤 抢救效果 多器官功能障碍综合征 抢救效率 

分 类 号：R472.2[医药卫生—急诊医学]