急诊预住院联合医护一体化急救模式在急诊手术严重创伤患者救治中的应用价值  

The Application Value of Emergency Pre-Hospitalization Combined with Integrated Medical-Nursing Emergency Model in the Treatment of Severe Trauma Patients Undergoing Emergency Surgery

作　　者：叶晓丽 陈三梅 刘瑜 邹爱萍[1] 何永祥[1] 马国栋[1] Ye Xiaoli;Chen Sanmei;Liu Yu;Zou Aiping;He Yongxiang;Ma Guodong(Emergency Department,Yuebei People's Hospital,Shaoguan 512026,Guangdong Province,China)

机构地区：[1]粤北人民医院急诊科,广东韶关512026

出　　处：《中外医药研究》2025年第5期6-8,共3页JOURNAL OF CHINESE AND FOREIGN MEDICINE AND PHARMACY RESEARCH

基　　金：韶关市卫生健康科研项目(编号:Y23060)。

摘　　要：目的:探究急诊预住院联合医护一体化急救模式在急诊手术严重创伤患者救治中的应用价值。方法:选取2018年10月—2024年2月于粤北人民医院行急诊手术救治的严重创伤患者120例为研究对象,其中,2018年10月—2022年10月实施常规急诊救治方案的患者纳入常规组(56例),2022年11月—2024年2月实施急诊预住院联合医护一体化急救模式的患者纳入联合组(64例)。对比两组救治时效性指标、救治预后指标以及抢救质量。结果:联合组首次CT时间、气管插管时间、多科会诊完成时间、提出输血申请时间、首袋血液输注时间、急诊停留时间均短于常规组(P<0.05);两组抢救成功率、治愈出院率、多器官功能衰竭发生率比较,无统计学差异(P>0.05);联合组手术物品准备、急救技能、术中护理配合、急救秩序评分均高于常规组(P<0.05)。结论:急诊预住院联合医护一体化急救模式有助于缩短严重创伤患者入院后各环节抢救时间,提高抢救质量。Objective:To explore the application value of emergency pre-hospitalization combined with an integrated medical-nursing emergency model in the treatment of severe trauma patients undergoing emergency surgery.Methods:A total of 120 severe trauma patients who underwent emergency surgery at Yuebei People's Hospital from October 2018 to February 2024 were selected as the study subjects.Among them,patients who received conventional emergency treatment from October 2018 to October 2022 were included in the conventional group(n=56),while those who received emergency pre-hospitalization combined with an integrated medical-nursing emergency model from November 2022 to February 2024 were included in the combined group(n=64).The timeliness indicators,prognosis indicators,and rescue quality were compared between the two groups.Results:The combined group had shorter times for initial CT,endotracheal intubation,multidisciplinary consultation completion,blood transfusion request,first blood transfusion,and emergency department stay compared to the conventional group(P<0.05).There was no statistically significant difference in rescue success rate,cure and discharge rate,or incidence of multiple organ failure between the two groups(P>0.05).The combined group scored higher in surgical item preparation,emergency skills,intraoperative nursing coordination,and emergency order compared to the conventional group(P<0.05).Conclusion:The emergency pre-hospitalization combined with an integrated medical-nursing emergency model helps shorten the rescue time at various stages after admission for severe trauma patients and improves rescue quality.

关 键 词：严重创伤 急诊手术 急诊预住院 医护一体化急救模式 

分 类 号：R641[医药卫生—外科学]