急诊绿色通道护理对创伤性膈疝患者救治成功率的影响

目的探究急诊绿色通道护理对创伤性膈疝患者就治成功率的影响。 方法回顾性分析2015年11月至2019年5月，南京医科大学第一附属医院收治的40例创伤性膈疝患者。按急诊护理方法的不同分为对照组和观察组，各20例。对照组行常规护理，观察组行急诊绿色通道护理。分析2组急诊相关指标、术后康复指标，2组护理后1个月的复发率、救治成功率及并发症发生率。采用SPSS 20.0统计软件进行数据分析。 结果与对照组比较，观察组急诊科抢救时间、辅助检查时间、从救治到送入手术室时间、术后机械通气时间均缩短，术后24 h动脉血二氧化碳分压（PaCO₂）水平低于对照组，差异均有统计学意义（均P<0.05）；护理后观察组和对照组的复发率分别为5.00%、25.00%，救治成功率分别为100.00%、90.00%，差异无统计学意义（P>0.05）；护理后观察组并发症总发生率（10.00%）显著低于对照组（45.00%），差异有统计学意义（P<0.05）。 结论急诊绿色通道护理缩短了创伤性膈疝患者的抢救时间，使患者尽早脱离危险，减少创伤性膈疝患者并发症发生率，可有效改善患者预后。

Emergency green channel nursing in improving the treatment success rate of patients with traumatic diaphragmatic hernia

ObjectiveTo explore the role of emergency green channel nursing in improving the treatment success rate of patients with traumatic diaphragmatic hernia. MethodsForty patients with traumatic diaphragmatic hernia admitted to the emergency department of firtst affiliated hospital of Nanjing Medical University from November 2015 to May 2019 were analyzed retrospectively. According to the different emergency nursing methods, they were divided into the control group and the observation group, with 20 cases in each group. The control group received routine nursing and the observation group received emergency green channel nursing. The emergency related indicators and postoperative rehabilitation indicators in the two groups were compared, and the recurrence rate, treatment success rate and complication rate of the two groups after one month of nursing were analysed. ResultsCompared with the control group, the emergency department rescue time, auxiliary examination time, the time from rescue to operating room, postoperative mechanical ventilation time were shortened in the observation group. The level of PaCO₂ at 24 hours after operation in the observation group was lower than that in the control group (P<0.05); After nursing, the recurrence rate of observation group and control group was 5.00% and 25.00%, and the success rate of treatment was 100.00% and 90.00%, respectively, with no significant difference (P>0.05). After nursing, the overall incidence of complications in the observation group (10.00%) was significantly lower than that in the control group (45.00%) (P<0.05). ConclusionEmergency green channel nursing can shorten the rescue time of patients with traumatic diaphragmatic hernia, get them out of danger as soon as possible, reduce the complication rate of patients with traumatic diaphragmatic hernia, and effectively improve the prognosis of patients.