急救护理流程在高速公路患者救护中的应用

目的：探讨急救护理流程在高速公路交通事故伤员救护中的应用效果。方法将本院2009年1月-2010年1月实施高速公路救护护理流程前180例患者作为对照组，将2010年3月-2011年3月实施高速公路救护护理流程200例患者作为观察组，比较两组救护车开出时间、到达现场时间、现场抢救时间、到达医院时间和抢救成功率。结果观察组救护车开出时间、到达现场时间、现场抢救时间、到达医院时间分别为（1．33±0．35），（6．74±1．78），（6．25±3．61），（28．61±6．03）min，均低于对照组的（2．62±0．64），（9．34±2．62），（13．50±8．27），（43．10±7．36）min，差异均有统计学意义（t 分别为2．63，8．18，2．51，4．84；P＜0．01）。观察组除10例因现场抢救无效死亡，2例手术后5 d死亡，其余均治愈、愈合出院，抢救成功率为91．5％，与对照组的85．6％比较，差异有统计学意义（χ2＝3．91，P＜0．05）。结论护理流程在高速公路救护中有助于快速到达现场和缩短现场抢救时间，提高抢救成功率，在高速救护中有较高的实用性和可操作性。

Application of nursing process to the emergency rescue in expressway traffic accident

Objective To explore the application effect of nursing process to the emergency rescue in expressway traffic accident .Methods One hundred and eighty patients from January 2009 to January 2010 in our hospital were not given the nursing process to the emergency rescue in expressway traffic accident as the control group , and 200 patients from March 2010 and March 2011 in our hospital were given the nursing process to the emergency rescue in expressway traffic accident as the experimental group .The time of ambulance to depart the hospital , arriving to the location of the accident , rescuing the patients in the scene of accident , arriving to the hospital and the success rate of rescuing were compared in two groups .Results The time of ambulance to depart the hospital , arriving to the location of the accident , rescuing the patients in the scene of accident, arriving to the hospital in the experimental groups were respectively （1.33 ±0.35）, （6.74 ±1.78）, （6.25 ±3.61）, （28.61 ±6.03） min, and were lower than （2.62 ±0.64）, （9.34 ±2.62）, （13.5 ±8.27）, （43.1 ±7.36） min in the control group , and the differences were statistically significant （ t =2.63, 8.18, 2.51, 4.84, respectively;P〈0.01）.Ten cases in the experimental group were death due to the invalid rescue in the scene of accident , two cases were death 5 days after the operation , and the remaining cases were successfully rescued.The success rate of rescuing in the experimental group was 91.5%, and was 85.6% in the control group, and the difference was statistically significant （χ2 =3.91, P〈0.05）.Conclusions Nursing processes to the emergency rescue in expressway traffic accident can shorted the time of arriving to the location of the accident and rescuing the patients in the scene of accident , and can improve the success rate of rescuing , and are of high practicability and maneuverability .