摘要
目的 探讨对于严重多发伤患者,急诊科急救和院前急救模式的临床价值.方法 回顾性分析2020年5月至2023年5月广西河池市人民医院急诊科收治的90例严重多发伤患者的临床资料,根据急救模式的不同将研究对象分为观察组(院前急救模式,n=45)和对照组(急诊科急救模式,n=45).比较两组研究对象急救时间、抢救效率情况、不良反应发生情况.结果 观察组院前急救人员到达现场时间、急诊停留时间、检查时间、急诊科人员到达时间、抢救时间、术前准备时间、急救等待时间、ICU住院时间均显著短于对照组(P<0.001).观察组研究对象疾病判断正确率为88.89％,显著高于对照组的71.11％(P=0.035);抢救成功率为95.56％,显著高于对照组的82.22％(P=0.044).观察组研究对象中2例(4.44％)出现不良反应,低于对照组研究对象中11例(24.44％)(P=0.007).结论 对于严重多发伤患者,规范化的院前急救模式可有效缩短急救时间,提高急救效率,降低不良反应的发生风险.
Abstract
Objective To investigate the clinical value of pre-hospital emergency care and emergency depart-ment rescue models for patients with severe multiple injuries. Methods A retrospective analysis was conducted on the clinical data of 90 patients with severe multiple injuries who were treated in the Emergency Department of Hechi People's Hospital,Guangxi,between May 2020 and May 2023. The patients were divided into an observation group (pre-hospital emergency care model,n=45) and a control group (emergency department rescue model,n=45) based on the emergency care model used. The rescue time,efficiency of resuscitation,and incidence of adverse reactions were compared between the two groups. Results The observation group had significantly shorter times for pre-hospital emergency team arrival,emergency department stay,diagnostic evaluation,emergency department personnel arriv-al,resuscitation,preoperative preparation,emergency wait,and ICU hospitalization compared to the control group (P<0.001). The correct diagnosis rate in the observation group was 88.89％,significantly higher than 71.11％ in the control group (P=0.035). The success rate of resuscitation in the observation group was 95.56％,significantly higher than 82.22％ in the control group (P=0.044). The incidence of adverse reactions in the observation group was 4.44％ (2 cases),lower than the 24.44％ (11 cases) in the control group (P=0.007). Conclusion For patients with severe multiple injuries,a standardized pre-hospital emergency care model can effectively shorten rescue times,improve re-suscitation efficiency,reduce the risk of adverse reactions,and increase patient satisfaction with care.
维普
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