高寒地区儿童创伤急救一体化模式临床应用研究  

Clinical application of an integration model of paediatric child trauma emer⁃gency care in cold regions

作　　者：许芝林[1] 李东 路春喜 杨冰 张立文 郝增辉[1] 于有[1] 安群[1] 王龙[1] XU Zhi⁃lin;LI Dong;LU Chun⁃xi;YANG Bing;ZHANG Li⁃wen;HAO Zeng⁃hui;YU You;AN Qun;WANG Long(Department of Paediatric Surgery,Sixth Hospital of Harbin Medical University,Harbin 150000,China;Department of Paediatric Surgery,Daxinganling District People’s Hospital,Gagdachi 1650001,China)

机构地区：[1]哈尔滨医科大学附属六医院小儿外科,黑龙江哈尔滨150000 [2]大兴安岭地区人民医院小儿外科,黑龙江加格达奇1650001

出　　处：《哈尔滨医科大学学报》2024年第5期548-552,共5页Journal of Harbin Medical University

基　　金：横向课题高寒地区儿童创伤急救策略的研究项目

摘　　要：目的探讨一体化急救模式在高寒地区儿童创伤急救的临床救治效果。方法收集2020年12月前于哈尔滨医科大学附属第一医院未实施儿童创伤急救一体化模式的创伤患儿40例,设为对照组,采用传统创伤急救方法;收集2020年12月~2022年12月于哈尔滨医科大学附属第一医院实施儿童创伤急救一体化模式的创伤患儿40例,设为观察组,比较两组患者的急诊室停留时间、辅助检查时间、急诊室至手术时间间隔、入院至手术时间间隔、急救成功率、并发症率、致残率及致死率情况。结果与对照组比较,观察组患者在急诊室的停留时长、接受辅助诊断的时间、从急诊室转至手术室的时间以及从入院到进行手术的时间都较短(P<0.05)。同时,观察组患者的紧急救治的成功比率高于对照组,而其并发症的发生率、残疾和死亡率则显著下降(P<0.05)。结论高寒地区儿童创伤通过一体化急救模式的应用缩短了各个环节患儿创伤救治时间,很大程度上避免了错过最佳急救时机的发生,提高了创伤急救成功率,并且改善了患儿预后。Objective To investigate the clinical effectiveness of the integrated emergency care model in the emergency treatment of child trauma in cold regions.Methods A total of 40 children who had not been treated with the integration model of paediatric child trauma care at the First Affiliated Hospital of Harbin Medical University by December 2020 were selected as the control group and treated using the traditional trauma care method.A total of 40 cases of children who had undergone the integration model of paediatric trauma care at the First Affilia⁃ted Hospital of Harbin Medical University between December 2020 and December 2022 were selected as the observation group.Emergency department stay time,auxiliary examination time,the interval between the emergency room and the surgery,the interval between the admis⁃sion to the hospital and the surgery,the success rate of the emergency care,the rate of compli⁃cations,the rate of disability,and the rate of fatality of the patients between the control group and the observation group were compared.Results Compared with the control group,patients in the observation group had a shorter stay time in the emergency room,time to receive auxilia⁃ry diagnosis,time to be transferred from the emergency room to the operating room,and time from admission to surgery(P<0.05).The success rate of emergency treatment for patients in the observation group was higher than that of the control group;and complication rate,disabili⁃ty and mortality rate were significantly lower(P<0.05).Conclusion The implementation of the integrated emergency care model for child trauma in cold regions has resulted in a signifi⁃cant reduction in the time required for the treatment of child trauma,with a notable decrease in the occurrence of missed opportunities for emergency care.Furthermore,the model has led to an enhanced success rate in trauma emergency care and an improved prognosis for children.

关 键 词：高寒地区 儿童创伤 创伤急救 一体化模式 

分 类 号：R641.1[医药卫生—外科学]