严重创伤院前院内强化一体化救治体系的效果研究

目的探讨院前院内强化一体化急救模式在严重创伤患者救治过程中的应用价值。 方法实验组(强化一体化救治组)以镇江市第一人民医院急诊医学中心2017年1月至2017年12月接收的128例患者为研究对象进行回顾性研究,其中男性78例,女性50 例;年龄31～59 岁,平均年龄(39.34±4.0)岁。急救医师通过无线数据连接实时将现场救治场景和患者各项信息传送到拟转送的目标医院,到达医院后急救医师与急诊医师共同完成创伤救治的ABCDE流程后离院;对照组(传统急救模式组)为镇江市急救中心在2016年12月至2016年12月期间送往镇江市第一人民医院急诊医学中心135例严重创伤患者。比较两组患者一般资料、急诊室停留时间、ICU监护时间、病死率以及住院时间,对救治效果进行评估。 结果实验组与对照组相比较,在急诊室停留时间(35.34±18.19)min] VS (50.45±15.39)min]、ICU监护时间(6.8±5.6)d]VS(9.2±3.4)d]、病死率(7.81%) VS (12.59%)以及住院时间(29.8±3.4)d] VS (35.7±4.5)d]均优于对照组,差异有统计学意义(P<0.05)。 结论院前、院内强化一体化急救模式能够有效缩短严重创伤患者抢救时间,更快地在"黄金1 h"内稳定生命体征,最终提高严重创伤患者的救治成功率,具有临床推广价值。

The effect of integrative pre-hospital and in-hospital treatment system for severe trauma

ObjectiveTo explore the clinical value of the strengthened integrated first aid model combining pre-hospital care with in-hospital treatment for severe trauma . MethodsA comparison was made between the experimental group (strengthened integrated first aid model) and control group (tranditional first aid model). Experimental group: From January 2017 to December 2017, 128 patients, including 78 males and 50 females who aged 31-59 years with an average age of 39.34±4.0 years, were treated with the strengthened integrated first aid model, and sent to emergency department of the zhenjiang first people hospital. Emergency physician sent patients’ data to hospital with wireless data transmission at the process of first aid, and got more guidance from hospital. At same time, hospital have prepared for treatment before patients arrival. Emergency physician leave hospital after having performed the trauma treatment process (ABCDE). The Control group: From January 2016 to December 2016, 135 patients were treated with the traditional first aid model. The general data of the two groups, emergency room stay time, ICU monitoring time, mortality and hospitalization time were compared, and the treatment effect was evaluated between two groups. ResultsThere was no significant difference between the two groups in general data. The experimental group was superior to the Control group in the residence time at emergency department, ICU monitoring time, mortality, and hospitalization time with statistically significant (P<0.05). ConclusionThe strengthened integrated first aid model can effectively shorten the emergency rescue time for severe trauma patients. Patients get better medical treatment, and lower mortality.