一体化创伤急救模式在外科严重创伤急救中的应用效果观察
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摘要
目的分析一体化创伤急救模式在外科严重创伤急救中的应用效果。方法随机从我院2016年2月～2018年3月期间收治的外科严重创伤急救患者中抽取80例进行回顾分析,依据其急救模式分组,40例对照组接受传统急救模式干预,40例研究组接受一体化创伤急救模式干预,统计比较两组患者救治成功率、急救时间、住院时间、救治满意度等指标。结果研究组抢救成功率77.50%高于对照组37.50%,死亡率5%、致残率17.50%低于对照组22.50%、42.50%,差异有统计学意义(P <0.05)。研究组有效救治时间、急诊至手术时间、多科会诊时间、辅助检查时间、急诊抢救时间均低于对照组,差异有统计学意义(P <0.05)。结论建议临床抢救外科严重创伤患者采用一体化创伤急救模式,此模式可显著缩短患者急救时间、住院时间,提升救治成功率,改善护患关系,有利作用大,值得推广。
Objective To analyze and discuss the application effect of integrated trauma first aid mode in surgical severe trauma first aid. Methods 80 cases of patients with surgical trauma treated in our hospital from February 2016 to March 2018 were randomly divided into study group and control group by first aid mode, with 40 cases in each group. The control group received traditional first aid intervention, while the study group received integrated trauma emergency mode intervention. The treatment success rate, first aid time, hospitalization time and treatment satisfaction of the two groups were compared statistically. Results The rescue success rate of 77.50% in the study group was higher than that of 37.50% in the control group, and the mortality rate of 5% and 17.50% were lower than that of 22.50% and 42.50% in the control group, with statistically significant difference(P < 0.05). The effective treatment time, emergency to operation time, multi-department consultation time, auxiliary examination time and emergency rescue time in the study group were all lower than those in the control group, with statistically significant differences(P < 0.05). Conclusion The integrated trauma emergency treatment model can significantly shorten the time of first aid and hospitalization, improve the success rate of treatment, improve the nurse-patient relationship, and has a great beneficial effect, which is worthy of promotion.
Objective To analyze and discuss the application effect of integrated trauma first aid mode in surgical severe trauma first aid. Methods 80 cases of patients with surgical trauma treated in our hospital from February 2016 to March 2018 were randomly divided into study group and control group by first aid mode, with 40 cases in each group. The control group received traditional first aid intervention, while the study group received integrated trauma emergency mode intervention. The treatment success rate, first aid time, hospitalization time and treatment satisfaction of the two groups were compared statistically. Results The rescue success rate of 77.50% in the study group was higher than that of 37.50% in the control group, and the mortality rate of 5% and 17.50% were lower than that of 22.50% and 42.50% in the control group, with statistically significant difference(P < 0.05). The effective treatment time, emergency to operation time, multi-department consultation time, auxiliary examination time and emergency rescue time in the study group were all lower than those in the control group, with statistically significant differences(P < 0.05). Conclusion The integrated trauma emergency treatment model can significantly shorten the time of first aid and hospitalization, improve the success rate of treatment, improve the nurse-patient relationship, and has a great beneficial effect, which is worthy of promotion.
引文
[1]杨俊,黄和民,陈麒麟.综合创伤急救模式对严重胸腹外伤患者救治效果的影响[J].山西医药杂志, 2015, 44(20):2429-2430.
[2]李博,李莉,白冰,等.基于流程重组建立一体化创伤急救流程[J].中华急诊医学杂志, 2015, 24(1):105-107.
[3]化伟,白秋铁,张军.老年严重创伤患者采用一体化创伤急救模式急救效果分析[J].医学综述, 2017, 23(13):2686-2689.
[4]周建仪,李淑芳,曾奕云,等.医护一体化管理模式在严重创伤病人早期救治中的应用[J].护理研究, 2017,31(30):3808-3812.
[5]余奎.损伤控制策略下一体化急救模式在严重胸腹外伤患者救治中的应用效果[J].中国急救医学, 2015, 35(s2):204-205.
[6]Mehrdad M. Establishing an Integrated Trauma System in Iran:The Time of Translating Information into Action[J].Archives of Trauma Research, 2015, 4(1):e28117.
[7]王振华.损伤控制外科技术对严重腹部创伤急救患者应激反应及治疗效果的影响[J].实用临床医药杂志,2015, 19(19):112-113.
[8]Bakke HK, Steinvik T, Eidissen SI, et al. Bystander first aid in trauma-prevalence and quality:a prospective observationalstudy[J].ActaAnaesthesiologica Scandinavica, 2015, 59(9):1187.
[9]李玉香,陈思美.无缝衔接一体化急救护理对严重创伤患者抢救成功率,病死率及预后的影响[J].山西医药杂志, 2017, 46(12):1511-1513.
[10]薛雯,符爱兰,韩惠芳.急救护理模式在严重创伤患者救治中的应用[J].实用临床医药杂志, 2017, 21(20):180-181.
[11]周开国,李建忠,贾慧林,等.不同院前干预救治模式对重症多发创伤患者预后的影响[J].中华急诊医学杂志, 2016, 25(3):362-366.
[12]赵晓东,刘红升.严重创伤患者急诊早期救治的研究进展-团队模式、标准化细节[J].中华急诊医学杂志,2016, 25(5):553-556.
[13]秦臻臻. FOCUS-PDCA模式在严重创伤患者救治中的应用效果[J].中国急救复苏与灾害医学杂志,2016, 11(3):253-255.
[14]陈茂松,安涛.海南省创伤中心对严重创伤176例的救治临床分析[J].中国急救复苏与灾害医学杂志,2016, 11(7):667-670.
[15]张峰海,武卫,郑旭东.优化院前急救网络对严重创伤患者救治的影响[J].中华全科医学, 2015, 13(6):881-884.
[16]李伟健,黄婉坤,叶健敏,等.社区居民对急救技能培训模式需求调查分析[J].中国医药科学, 2017, 7(22):147-149.
[2]李博,李莉,白冰,等.基于流程重组建立一体化创伤急救流程[J].中华急诊医学杂志, 2015, 24(1):105-107.
[3]化伟,白秋铁,张军.老年严重创伤患者采用一体化创伤急救模式急救效果分析[J].医学综述, 2017, 23(13):2686-2689.
[4]周建仪,李淑芳,曾奕云,等.医护一体化管理模式在严重创伤病人早期救治中的应用[J].护理研究, 2017,31(30):3808-3812.
[5]余奎.损伤控制策略下一体化急救模式在严重胸腹外伤患者救治中的应用效果[J].中国急救医学, 2015, 35(s2):204-205.
[6]Mehrdad M. Establishing an Integrated Trauma System in Iran:The Time of Translating Information into Action[J].Archives of Trauma Research, 2015, 4(1):e28117.
[7]王振华.损伤控制外科技术对严重腹部创伤急救患者应激反应及治疗效果的影响[J].实用临床医药杂志,2015, 19(19):112-113.
[8]Bakke HK, Steinvik T, Eidissen SI, et al. Bystander first aid in trauma-prevalence and quality:a prospective observationalstudy[J].ActaAnaesthesiologica Scandinavica, 2015, 59(9):1187.
[9]李玉香,陈思美.无缝衔接一体化急救护理对严重创伤患者抢救成功率,病死率及预后的影响[J].山西医药杂志, 2017, 46(12):1511-1513.
[10]薛雯,符爱兰,韩惠芳.急救护理模式在严重创伤患者救治中的应用[J].实用临床医药杂志, 2017, 21(20):180-181.
[11]周开国,李建忠,贾慧林,等.不同院前干预救治模式对重症多发创伤患者预后的影响[J].中华急诊医学杂志, 2016, 25(3):362-366.
[12]赵晓东,刘红升.严重创伤患者急诊早期救治的研究进展-团队模式、标准化细节[J].中华急诊医学杂志,2016, 25(5):553-556.
[13]秦臻臻. FOCUS-PDCA模式在严重创伤患者救治中的应用效果[J].中国急救复苏与灾害医学杂志,2016, 11(3):253-255.
[14]陈茂松,安涛.海南省创伤中心对严重创伤176例的救治临床分析[J].中国急救复苏与灾害医学杂志,2016, 11(7):667-670.
[15]张峰海,武卫,郑旭东.优化院前急救网络对严重创伤患者救治的影响[J].中华全科医学, 2015, 13(6):881-884.
[16]李伟健,黄婉坤,叶健敏,等.社区居民对急救技能培训模式需求调查分析[J].中国医药科学, 2017, 7(22):147-149.