首页|多学科协作模式用于救治严重胸部创伤患者的效果观察

多学科协作模式用于救治严重胸部创伤患者的效果观察

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目的 探究多学科协作模式在救治严重胸部创伤患者中的应用效果.方法 回顾性分析 2021 年 10 月—2023 年 10 月黔东南苗族侗族自治州人民医院收治的 62 例严重胸部创伤患者的资料,按照不同干预方式将其分为对照组和观察组.对照组(n=30)予以常规干预,观察组(n=32)采取多学科协作模式干预.比较两组的临床指标、并发症、病死率及家属满意度.结果 两组的胸引管留置时间、病死率对比,组间差异无统计学意义(P>0.05).观察组入院后手术开始时间为(1.26±0.24)h,重症监护病房监护时间为(6.31±0.59)h,住院时间为(16.67±1.21)d,均短于对照组的(2.11±0.35)h、(8.83±1.27)h、(21.82±1.59)d,术后胸引量为(1078.51±21.06)mL,少于对照组的(1159.42±26.75)mL,组间差异有统计学意义(P<0.05).观察组并发症发生率为 3.13%,低于对照组的 23.33%,家属满意度为 93.75%,高于对照组的70.00%,组间差异有统计学意义(P<0.05).结论 多学科协作模式应用于严重胸部创伤患者救治中,可改善相关临床指标,减少并发症,提高家属满意度,值得临床推广.
Observation on the Effectiveness of Multidisciplinary Collaboration Model in Treating Patients with Severe Chest Trauma
Objective To explore the application effect of multidisciplinary collaboration model in the treatment of patients with severe chest trauma.Methods Retrospective analysis of data on 62 patients with severe chest trauma admitted to the Qiandongnan Miao and Dong Autonomous Prefecture People's Hospital from October 2021 to October 2023,and divided into a control group and an observation group according to different intervention methods.The control group(n=30)received routine intervention,while the observation group(n=32)received multidisciplinary collaborative mode intervention.Compare two groups of clinical indicators,complications,mortality rate,and family satisfaction.Results Comparison of the retention time and mortality rate of thoracic catheters between two groups,there were no statistically significant differences between groups(P>0.05).The start time of surgery in the observation group after admission was(1.26±0.24)h,the monitoring time in the intensive care unit was(6.31±0.59)h,and the hospitalization time was(16.67±1.21)d,all of which were shorter than the control group's(2.11±0.35)h,(8.83±1.27)h,and(21.82±1.59)d,the postoperative chest drainage volume was(1 078.51±21.06)mL,which was lower than the control group's(1 159.42±26.75)mL,the differences between groups were statistically significant(P<0.05).The incidence of complications in the observation group was 3.13%,which was lower than the control group's 23.33%,family satisfaction was 93.75%,which was higher than the control group's 70.00%,the differences between groups were statistically significant(P<0.05).Conclusion The application of multidisc-iplinary collaboration model in the treatment of severe chest trauma patients can improve relevant clinical indicators,reduce complications,and increase family satisfaction,which is worthy of clinical promotion.

Severe chest traumaMultidisciplinary collaboration modelClinical indicatorsComplicationsFamily satisfaction

杨秀华

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黔东南苗族侗族自治州人民医院胸心外科,贵州黔东南 556000

严重胸部创伤 多学科协作模式 临床指标 并发症 家属满意度

黔东南州科技计划项目

黔东南科合J字[2023]130号

2024

反射疗法与康复医学

反射疗法与康复医学

ISSN:
年,卷(期):2024.5(9)
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