急诊绿色通道在抢救一氧化碳中毒患者中的应用及效果

目的探讨急诊绿色通道对抢救一氧化碳中毒患者的实用价值。方法比较急诊绿色通道建立前126例（对照组）和建立绿色通道后132例（绿色通道组）一氧化碳中毒患者的救治情况。结果绿色通道组患者死亡率为0．7％（1／132），并发症发病率11．4％（15／132）；对照组死亡率为5．6％（7／126），并发症发病率20．6％（26／126），绿色通道组死亡率及并发症发病率均低于对照组，差异有统计学意义（P〈0．05）。绿色通道组一氧化碳中毒至得到急救时间、急诊室处理时间、特殊检查时间、出现意识时间、意识清醒时间均比对照组明显缩短，院前得到有效急救例数较对照组明显增多。结论急诊绿色通道的建立，降低了死亡率，提高了救治率，大大缩短了救治时间，保证了一氧化碳中毒患者急救的有效性。

Effect of emergency green channel on the rescue of patients with carbon monoxide poisoning

Objective To investigate the practical value of the emergency green channel on the rescue of car- bon monoxide poisoning patients. Methods 126 cases before the establishment of the emergency green channel were selected as the control group, 132 patients after the establishment of the green channel as the green channel group, and the remedy condition was compared between the two groups. Results In the green channel group,patients＇ dis- ease mortality was 0.7 % （1/132）, and the complication rate was 11.4% （15/132）, while in the control group they were 5.6 % （7/126） and 20.6 % （26/126）, respectively. The difference was statistically significant（P~0.05）. In the green channel group,emergency time, emergency room treatment time, special inspection time, consciousness time and conscious time were all significantly shorter than that in the control group（P〈0.05）. The prehospital effective first aid cases increased significantly compared with the control group. Conclusion The emergency green channel estab- lishment could reduce mortality,improve the cure rate, significantly shorten the treatment time,and ensure the timeli- ness and effectiveness in patients with carbon monoxide poisoning.