“四位一体”急救护理模式对严重创伤患者低体温的预防效果  

Preventive effect of "four-in-one" emergency nursing model on hypothermia in patients with severe trauma

作　　者：赵江宁[1] 石青 苏晓丽[1] 李兴珍[1] 党星波[1] ZHAO Jiangning;SHI Qing;SU Xiaoli;LI Xingzhen;DANG Xingbo(Shaanxi Provincial People's Hospital,Xi'an 710068,China)

机构地区：[1]陕西省人民医院,陕西西安710068

出　　处：《临床医学研究与实践》2025年第3期115-118,共4页Clinical Research and Practice

基　　金：陕西省卫生健康科研基金项目(No.2021D029)。

摘　　要：目的 探究“四位一体”急救护理模式对严重创伤患者低体温的预防效果。方法 选取2021年2月至2023年2月医院收治的200例严重创伤患者作为研究对象,根据随机数字表法将其分为A组与B组,各100例。B组实施常规急救护理模式,A组实施“四位一体”急救护理模式。比较两组的干预效果。结果 干预后60、120、180 min,A组的体核温度均高于B组(P<0.05);A组的低体温发生率低于B组(P<0.05)。A组的预检评估、医生接诊、急诊抢救、创伤控制及转运至手术室时间短于B组(P<0.05)。干预后,A组的创伤严重程度评分(ISS)评分低于B组,循环-呼吸-腹部-运动-语言评分(CRAMS)评分高于B组(P<0.05)。干预后,A组的收缩压(SBP)、舒张压(DBP)均高于B组,心率(HR)、呼吸频率均低于B组(P<0.05)。结论“四位一体”急救护理模式在预防严重创伤患者低体温方面的效果较佳,且能改善创伤程度与生命体征。Objective To explore the preventive effect of"four-in-one"emergency nursing model on hypothermia in patients with severe trauma.Methods A total of 200 patients with severe trauma admitted in the hospital from February 2021 to February 2023 were selected as the research objects,and the patients were divided into group A and group B according to the random number table method,with 100 cases in each group.The group B was given routine emergency nursing model,while the group A was given"four-in-one"emergency nursing model.The intervention effects of the two groups were compared.Results At 60,120 and 180 min after intervention,the core temperature of the group A was higher than that of the group B(P<0.05);the incidence of hypothermia in the group A was lower than that in the group B(P<0.05).The time of pre-examination evaluation,doctor reception,emergency rescue,trauma control and transfer to operating room of the group A were shorter than those of the group B(P<0.05).After intervention,the Injury Severity Score(ISS)score of the group A was lower than that of the group B,and the Circulation-Respirtion-Abdomen-Motor-Speech(CRAMS)score was higher than that of the group B(P<0.05).After intervention,the systolic blood pressure(SBP)and diastolic blood pressure(DBP)in the group A were higher than those in the group B,and the heart rate(HR)and respiratory rate were lower than those in the group B(P<0.05).Conclusion The"four-in-one"emergency nursing model in preventing hypothermia in patients with severe trauma has a better effect,and can improve the degree of trauma and vital signs.

关 键 词：严重创伤 “四位一体”急救护理 低体温 生命体征 

分 类 号：R473[医药卫生—护理学]