前馈控制联合体温管理对急诊创伤失血性休克患者抢救质量及预后的影响  

Influence of feedforward control combined with body temperature management on rescue quality and prognosis of emergency trauma hemorrhagic shock patients

作　　者：甄翠香 张雯杰 韩瑞彩 宾缘 杨洁梅[2] Zhen Cuixiang;Zhang Wenjie;Han Ruicai;Bin Yuan;Yang Jiemei(Department of Emergency,the Pearl River Hospital,Southern Medical University,Guangzhou 510280,China;Department of Anesthesiology,the Pearl River Hospital,Southern Medical University,Guangzhou 510280,China)

机构地区：[1]南方医科大学珠江医院急诊科,广东广州510280 [2]南方医科大学珠江医院麻醉科,广东广州510280

出　　处：《中华卫生应急电子杂志》2024年第6期332-335,共4页Chinese Journal of Hygiene Rescue(Electronic Edition)

基　　金：广东省医学科学技术研究基金项目(A2024735);广东省医学科学技术研究基金项目(A2024752)。

摘　　要：目的分析前馈控制联合体温管理对急诊创伤失血性休克患者抢救质量及预后的影响。方法对南方医科大学珠江医院急诊科2023年10月至2024年10月收治的80例创伤失血性休克患者进行研究,其中男性46 例,女性34 例;年龄18~78 岁,平均(48.12±2.63)岁。将2023 年10 月至2024 年4月的40例患者为对照组(未实施前馈控制联合体温管理),2024年5月至2024年10月的40例患者为实验组(实施前馈控制联合体温管理)。观察两组体温变化情况、抢救质量及预后。结果两组院外体温差异无统计学意义(P>0.05)。入院时与入院后1 h,实验组体温高于对照组,且实验组有效复温率95.00%,高于对照组的80.00%(P>0.05)。实验组抢救时间更短,抢救成功率92.50%,高于对照组的75.00%(P>0.05)。实验组并发症发生率10.00%,低于对照组的32.50%(P>0.05)。结论在急诊创伤失血性休克患者中,前馈控制联合体温管理能够有效提升患者体温,提高抢救效率和成功率,减低并发症发生风险,有助于改善患者预后。Objective To analyze the impact of feedforward control combined with body temperature management on the rescue quality and prognosis of patients with traumatic hemorrhagic shock in the emergency department.Methods A total of 80 patients with traumatic hemorrhagic shock admitted to the emergency department of Zhujiang Hospital,Southern Medical University from October 2023 to October 2024 were studied,including 46 males and 34 females,aged 18 to 78 years,with an average age of(48.12±2.63)years.From October 2023 to April 2024,40 patients were in the control group(without feedforward control combined with temperature management),and from May 2024 to October 2024,40 patients were in the experimental group(with feedforward control combined with temperature management).The changes in body temperature,rescue quality,and prognosis of the two groups were observed.Results There was no significant difference in pre-hospital body temperature between the two groups(P>0.05).At admission and 1 hour after admission,the body temperature of the experimental group was higher than that of the control group.The effective rewarming rate of the experimental group was 95.00%,which was higher than 80.00%of the control group(P<0.05).The rescue time of the experimental group was shorter,and the rescue success rate was 92.50%,which was higher than 75.00%of the control group(P<0.05).The complication rate of the experimental group was 10.00%,which was lower than 32.50%of the control group(P<0.05).Conclusion In patients with traumatic hemorrhagic shock in the emergency department,feedforward control combined with temperature management can effectively increase body temperature,improve rescue efficiency and success rate,and reduce the risk of complications,thereby helping to improve prognosis.

关 键 词：前馈控制 体温管理 急诊 创伤 失血性休克 抢救质量 预后 

分 类 号：R641[医药卫生—外科学]