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急救护理路径在抢救院前创伤性休克患者中的效果
引用本文:卢书梅.急救护理路径在抢救院前创伤性休克患者中的效果[J].上海医药,2016(16):30-32.
作者姓名:卢书梅
作者单位:江西省新余市紧急救援中心急救科 江西338000
摘    要:目的:探讨急救护理路径在抢救院前创伤性休克患者中的效果。方法:收集2015年1月—2016年5月实施院前急救的创伤性休克患者80例,分为对照组40例,采取创伤性休克常规护理;观察组40例,在对照组护理干预基础上,进行院前急救护理。观察两组患者抢救介入时间和术前准备时间,以及窒息和多器官衰竭(MODS)的发生情况。结果:观察组抢救成功率为92.50%(37/40),显著高于对照组的65.00%(26/40,P<0.05)。观察组患者入院前死亡、入院后抢救无效死亡率低于对照组(P<0.05),抢救介入时间、术前准备时间亦低于对照组(P<0.05);窒息发生率、MODS发生率均显著低于对照组(P<0.05)。结论:急救护理路径在抢救院前创伤性休克患者中的效果较好,对于挽救患者生命具有重要意义。

关 键 词:休克  急救护理  效果

Effect of emergency nursing path in the pre-hospital rescue of patients with traumatic shock
Abstract:Objective: To investigate the effect of emergency nursing path in the pre-hospital rescue of patients with traumatic shock.Methods:From January 2015 to May 2016, 80 cases of traumatic shock in pre-hospital ifrst aid were selected and divided into a control group with 40 cases who were treated with the routine nursing, and an observation group with 40 cases who were treated with pre-hospitalemergency nursing based on the routine nursing. The rescue in time, preoperative preparation time, and occurrences of asphyxia and multiple organ failure (MODS) were observed in the patients of the two groups.Results:The salvage successful rate was 92.50%(37/40) in the observation group that was signiifcantly higher than that in the control group 5% (26/40)(P<0.05). The rescue invalid death rates before and after admission to hospital were lower in the observation group than those in the control group(P<0.05). The rescue in time and preoperative preparation time were signiifcantly lower in the observation group than those in the control group(P<0.05). The incidences of asphyxia, and MODS were signiifcantly lower in the observation group than those in the control group(P<0.05).Conclusion: Pre-hospital emergency nursing path has a good effect in the rescue of patients with traumatic shock and great signiifcance to save the life of patients.
Keywords:shock  emergency nursing  effect
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