医学临床研究
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医学临床研究  2021, Vol. 38 Issue (9): 1285-1287    DOI: 10.3969/j.issn.1671-7171.2021.09.002
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院前急救优化流程对严重创伤患者的救治效果研究
邓胜林, 彭卓**
湘潭医卫职业技术学院附属医院,湖南 湘潭 413000
Study on Optimized Pre-hospital Emergency Procedures on Patients with Severe Trauma
DENG Sheng-lin, PENG Zhuo
Affiliated Hospital of Xiangtan Medical And Health Vocational College, Xiangtan 413000
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摘要 【目的】 探讨院前急救优化流程对严重创伤患者的救治效果。【方法】 选择本院急救科2019年3月至2021年3月接诊的60例严重创伤患者为研究对象(观察组),对其行优化急救流程治疗;同时以2017年2月至2019年2月接诊的60例严重创伤患者为对照组(行常规治疗),比较两组急救时间、救治成功率和并发症发生情况。【结果】 观察组患者的救护车出车至接回的往返时间、急诊室停留时间、专科确定治疗时间均少于对照组,且两组数据相比较差异均有显著性(P<0.05)。观察组患者的急救成功率为93.33%(56/60),高于对照组的85.00%(51/60);观察组病死率为6.67%(4/60),低于对照组的15.00%(9/60),且两组相比较差异均有显著性(P<0.05)。观察组患者严重并发症总发生率为15.00%(9/60),明显低于对照组的30.00%(18/60),且两组相比较差异有显著性(P<0.05)。【结论】 针对严重创伤患者实施院前急救优化流程救治,能够最大限度缩短急诊室救治时间和专科确定治疗时间,提高急诊治疗的效率和安全性,保证患者得到快速有效的治疗,降低病死率。
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邓胜林
彭卓
关键词 创伤和损伤/治疗急救医院治疗结果    
Abstract:【Objective】To explore the optimization process and effects of pre-hospital first aid for patients with severe trauma. 【Methods】 A total of 60 patients with severe trauma received by the emergency department of our hospital from March 2019 to March 2021 were selected as the research objects (the observation group) and patients were treated with optimized first aid process. At the same time, 60 patients with severe trauma received from February 2017 to February 2019 were selected as the control group and received routine treatment procedure. The first aid receiving time, treatment success rate and complications of the two groups were compared . 【Results】The round-trip time from ambulance to pick-up, the staying time in the emergency room and the treatment time determined by the specialty in the observation group were less than those in the control group. There was significant difference between the two groups (P<0.05). The success rate of first aid in the observation group was higher than that in the control group, and the failure rate of first aid was lower than that in the control group. There was significant difference between the two groups (P<0.05). The incidence of complications in the observation group was lower than that in the control group, and there was significant difference between the two groups (P<0.05). 【Conclusion】The optimized process of pre-hospital first aid for patients with severe trauma can minimize the treatment time in the emergency room and the treatment time determined by the specialty, improve the efficiency and safety of emergency treatment, ensure patients to receive rapid and effective treatment, and reduce mortality.
Key wordsWounds and Injuries/TH    First Aid    Hospitals    Treatment Outcome
收稿日期: 2021-05-20     
中图分类号:  R442.9  
基金资助:湖南省卫生健康委科研课题(项目编号20200097)
通讯作者: **E-mail:519510070@qq.com   
引用本文:   
邓胜林, 彭卓. 院前急救优化流程对严重创伤患者的救治效果研究[J]. 医学临床研究, 2021, 38(9): 1285-1287.
DENG Sheng-lin, PENG Zhuo. Study on Optimized Pre-hospital Emergency Procedures on Patients with Severe Trauma. JOURNAL OF CLINICAL RESEARCH, 2021, 38(9): 1285-1287.
链接本文:  
http://journal07.magtech.org.cn/yxlcyj/CN/10.3969/j.issn.1671-7171.2021.09.002     或     http://journal07.magtech.org.cn/yxlcyj/CN/Y2021/V38/I9/1285
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