综合创伤急救模式在严重创伤急救中的效果观察(1)
[摘要] 目的 观察综合创伤急救模式在严重创伤急救中的效果。 方法 选取我院2014年1月～2016年6月收治的严重创伤患者71例作为研究对象，根据不同的急救方式进行分组，接受常规急救模式的35例患者作为对照组，另外采用综合创伤急救模式的36例患者作为观察组，观察两组患者临床相关指标、抢救成功率以及并发症发生情况。 结果 观察组就诊至确诊时间、急救抢救时间、住院时间、抢救成功率各项临床相关指标均明显优于对照组，差异显著(P<0.05)；观察组抢救成功率以及并发症发生率分别为97.2%、5.6%，均明显优于对照组的77.1%、42.9%，具有显著性差异(P<0.05)。 结论 综合创伤急救模式在严重创伤急救中的效果突出，可提高抢救成功率，缩短抢救时间和住院时间，降低并发症的发生率，值得临床推广。
[关键词] 综合创伤急救模式；严重创伤；急救；并发症
[中图分类号] R641 [文献标识码] A [文章编号] 1673-9701(2017)22-0013-03
[Abstract] Objective To observe the effect of comprehensive trauma first aid mode in severe trauma first aid. Methods A total of 71 patients with severe trauma admitted in our hospital from January 2014 to June 2016 were selected as the subjects. According to the different first aid methods， 35 patients with routine emergency mode were selected as the control group and the combined trauma model of 36 patients were selected as the observation group， the clinical related indexes， the success rate of rescue and the occurrence of complications were observed. Results The clinical related indexes including the time of treatment to diagnosis， the time of emergency rescue， hospitalization time， the suscuss rate of rescue were significantly better than those of the control group(P<0.05). The success rate of the rescue and the complication rate were 97.2% and 5.6% respectively in the observation group， which were significantly better than those of the control group(77.1%， 42.9%)， the differences were significant(P<0.05). Conclusion The effect of comprehensive trauma emergency mode in severe trauma first aid can improve the success rate of rescue， shorten the time of rescue and hospitalization time， reduce the incidence of complications and deserve clinical promotion.
[Key words] Comprehensive trauma emergency mode； Severe trauma； First aid； Complication
嚴重创伤患者多伴有严重的多脏器功能损伤，病情复杂危重且变化快，容易漏诊，易诱发多种严重并发症，致残及致死率高，给患者的生命安全带来极大的威胁[1-3]。另外严重创伤患者需要多个科室协作综合治疗，但是常规的急救模式存在一定的局限性，无法在短时间内满足急救要求，因此，改善急救效率，探寻一种规范、综合的急救模式对于提高抢救成功率至关重要[4-5]。本研究以71例严重创伤患者为例，采用比较分析法探讨综合创伤急救模式的应用价值，现将结果报道如下。
1 资料与方法
1.1 临床资料
本次选取的71例研究对象均为我院2014年1月～2016年6月收治的严重创伤患者，根据急救方式分为对照组35例和观察组36例，现将其资料整理如下：对照组患者男20例，女15例，年龄19～70岁，平均(48.2±5.1)岁；创伤严重程度(ISS)评分≥25分，平均(37.2±4.1)分；致伤原因：交通事故14例，打架斗殴9例，工程事故12例。观察组患者男21例，女15例，年龄20～75岁，平均(48.7±5.5)岁；创伤严重程度(ISS)评分≥25分，平均(37.7±4.3)分；致伤原因：交通事故18例，打架斗殴10例，工程事故8例。所有患者经检查均符合严重创伤的诊断标准[6]，排除合并严重肝肾疾病、神经系统障碍、全身免疫系统疾病、造血及凝血功能障碍等患者。两组患者在性别、年龄、创伤严重程度、致伤原因等资料方面比较，差异无统计学意义(P>0.05)，具有可比性。
1.2方法, http://www.100md.com(曾明亮)
[关键词] 综合创伤急救模式；严重创伤；急救；并发症
[中图分类号] R641 [文献标识码] A [文章编号] 1673-9701(2017)22-0013-03
[Abstract] Objective To observe the effect of comprehensive trauma first aid mode in severe trauma first aid. Methods A total of 71 patients with severe trauma admitted in our hospital from January 2014 to June 2016 were selected as the subjects. According to the different first aid methods， 35 patients with routine emergency mode were selected as the control group and the combined trauma model of 36 patients were selected as the observation group， the clinical related indexes， the success rate of rescue and the occurrence of complications were observed. Results The clinical related indexes including the time of treatment to diagnosis， the time of emergency rescue， hospitalization time， the suscuss rate of rescue were significantly better than those of the control group(P<0.05). The success rate of the rescue and the complication rate were 97.2% and 5.6% respectively in the observation group， which were significantly better than those of the control group(77.1%， 42.9%)， the differences were significant(P<0.05). Conclusion The effect of comprehensive trauma emergency mode in severe trauma first aid can improve the success rate of rescue， shorten the time of rescue and hospitalization time， reduce the incidence of complications and deserve clinical promotion.
[Key words] Comprehensive trauma emergency mode； Severe trauma； First aid； Complication
嚴重创伤患者多伴有严重的多脏器功能损伤，病情复杂危重且变化快，容易漏诊，易诱发多种严重并发症，致残及致死率高，给患者的生命安全带来极大的威胁[1-3]。另外严重创伤患者需要多个科室协作综合治疗，但是常规的急救模式存在一定的局限性，无法在短时间内满足急救要求，因此，改善急救效率，探寻一种规范、综合的急救模式对于提高抢救成功率至关重要[4-5]。本研究以71例严重创伤患者为例，采用比较分析法探讨综合创伤急救模式的应用价值，现将结果报道如下。
1 资料与方法
1.1 临床资料
本次选取的71例研究对象均为我院2014年1月～2016年6月收治的严重创伤患者，根据急救方式分为对照组35例和观察组36例，现将其资料整理如下：对照组患者男20例，女15例，年龄19～70岁，平均(48.2±5.1)岁；创伤严重程度(ISS)评分≥25分，平均(37.2±4.1)分；致伤原因：交通事故14例，打架斗殴9例，工程事故12例。观察组患者男21例，女15例，年龄20～75岁，平均(48.7±5.5)岁；创伤严重程度(ISS)评分≥25分，平均(37.7±4.3)分；致伤原因：交通事故18例，打架斗殴10例，工程事故8例。所有患者经检查均符合严重创伤的诊断标准[6]，排除合并严重肝肾疾病、神经系统障碍、全身免疫系统疾病、造血及凝血功能障碍等患者。两组患者在性别、年龄、创伤严重程度、致伤原因等资料方面比较，差异无统计学意义(P>0.05)，具有可比性。
1.2方法, http://www.100md.com(曾明亮)