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院前院内一体化救治模式对严重创伤患者的救治效果

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目的 探究院前院内一体化救治模式对严重创伤患者救治的价值.方法 选取新余市人民医院 2021 年 8月—2022 年 8 月行传统救治模式的 96 例严重创伤患者(实施前组);再选取 2022 年 9 月—2023 年 9 月行院前院内一体化救治模式的 96 例严重创伤患者(实施后组);比较实施前后救治效果[从死亡率、休克发生率、多器官功能障碍综合征(MODS)发生率方面评估]、救治时间(院前急救反应用时、院内急诊用时、ICU停留时间、住院时间);于救治前后,比较损伤严重程度[损伤严重程度评分(ISS)].并比较实施前后患者家属满意度.结果 与实施前组比较,实施后组死亡率、休克发生率及MODS发生率更低,家属满意度更高(P<0.05);实施后组院前急救反应用时、ICU停留时间及住院时间均短于实施前组,且院内急诊用时长于实施前组(P<0.001);实施后组患者ISS评分低于实施前组(P<0.001).结论 院前院内一体化救治模式具有高效、快速等优势,应用于严重创伤患者中,能够提高救治效果,降低死亡率.
Study on effect of integrated pre-hospital and in-hospital treatment model on patients with severe trauma
Objective To explore the value of integrated pre-hospital and in-hospital treatment model for severe trauma patients.Methods 96 severe trauma patients(pre-implementation group)who underwent traditional treatment model at Xinyu People's Hospital from August 2021 to August 2022 were selected(pre-implementation group);and 96 severe trauma patients who underwent integrated pre-hospital and in-hospital treatment model from September 2022 to September 2023 were selected(post-implementation group).And the effectiveness of treatment(assessment in terms of mortality,shock inci-dence,and the incidence of multiple organ dysfunction syndrome[MODS])and treatment time(pre-hospital emergency re-sponse time,in-hospital emergency time,ICU stay time,and length of stay)before and after implementation were compared.Injury severity(injury severity score[ISS])was compared before and after treatment.In addition,the satisfaction of pa-tients'family members before and after implementation was compared.Results Compared with the pre-implementation group,the incidence of mortality,shock and MODS was lower in the post-implementation group,and the satisfaction of pa-tients'family members was higher(P<0.05).The emergency response time,ICU stay time,and length of stay of the post-implementation group was shorter than that of the pre-implementation group,and in-hospital emergency time was longer than that of the pre-implementation group(P<0.001);the ISS score of patients in the post-implementation group was lower than that of the patients in the pre-implementation group(P<0.001).Conclusion Integrated pre-hospital and in-hospital treat-ment model has the advantages of high efficiency and speed,which can improve treatment effectiveness and reduce mortality when applied to patients with severe trauma.

severe traumatraditional treatmentintegrated treatmenttreatment effecttreatment time

沈宗欢、姚志斌、王瑢

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江西省新余市人民医院急诊科,江西新余 338000

严重创伤 传统救治 一体化救治 救治效果 救治时间

新余市社会发展指导性计划

20233090886

2024

右江医学
右江民族医学院附属医院

右江医学

影响因子:0.779
ISSN:1003-1383
年,卷(期):2024.52(5)
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