创伤中心对提升严重多发伤患者救治效果的初步探索

目的探讨创伤中心建设对严重多发伤患者救治效果的影响。方法采用回顾性队列研究分析南华大学附属第二医院2015年10月至2019年9月收治的严重多发伤患者资料。以创伤中心建设后(2017年10月至2019年9月)救治的102例患者为研究组,创伤中心建设前(2015年10月至2017年9月)救治的126例患者为对照组,比较两组患者的急诊救治时间(从患者入院至急诊手术或急诊ICU的时间)、ICU住院时间、总住院时间、总住院费用及病死率。结果研究组和对照组患者的急诊救治时间分别为51(47,57)min]、97(87,107)min],差异有统计学意义(P<0.05)。研究组和对照组患者的ICU住院时间分别为4(1.8,9.3)d]、4(2,10)d],总住院时间分别为25.5(15.8,39.0)d]、21.5(12.8,41.5)d],总住院费用分别为41259.0(26950,81599)元]、51872.5(29629,97837)元],以上项目研究组与对照组比较差异均无统计学意义(P>0.05);研究组和对照组的病死率分别为12.7%(13/102)、24.6%(31/126),差异有统计学意义(P<0.05)。结论创伤中心建设能缩短严重多发伤患者的救治时间,提高救治效率,降低患者的病死率。

Establishment of a trauma center improves therapeutic efficacy for patients with severe multiple injuries

Objective To investigate the effects of establishment of a trauma center on the therapeutic efficacy for patients with severe multiple injuries.Methods A retrospective study was conducted in the patients who had been treated at The Second Affiliated Hospital,University of South China for severe multiple injuries from October 2015 to September 2019.They were assigned into 2 groups.The study group included 102 patients who had been treated after establishment of our trauma center(from October 2017 to September 2019)while the control group 126 patients who had been treated before establishment of our trauma center(from October 2015 to September 2017).The 2 groups were compared in terms of time for emergency treatment(from admission to emergency surgery or ICU),ICU stay,hospital stay,total medical costs and mortality.Results There was a significant difference between the 2 groups in time for emergency treatment51(47,57)min for the study group versus 97(87,107)min for the control group](P<0.05).There were no significant differences between the 2 groups in ICU stay4(1.8,9.3)d versus 4(2.0,10.0)d],hospital stay25.5(15.8,39.0)d versus 21.5(12.8,41.5)d],or total medical costs￥41,259.0 yuan(￥26,950 yuan,￥81,599 yuan)](P>0.05).There was a significant difference between the 2 groups in mortality12.7%(13/102)for the study group versus 24.6%(31/126)for the control group](P<0.05).Conclusion Establishment of a trauma center can effectively shorten time for emergency treatment,improve treatment efficacy and reduce mortality for patients with severe multiple injuries.