摘要
目的:探讨基于警医护一体化的流程改进在急诊救治多发伤患者中的效果。方法:选取某三甲医院急诊科于2023年1月至2023年6月救治的符合纳入标准的57例多发伤患者作为对照组,采用常规救治流程;于2023年7月至2023年12月救治的符合纳入标准的59例患者作为观察组,采用警医护一体化的救治流程,对比两组患者救治准备时间、救治时间;干预前、入ICU时、出ICU时三者之间的乳酸(LAC)、血红蛋白(Hb)水平;两组患者住院时间及死亡率。结果:观察组患者院前急救转运时间、到达门/急诊至完成快速CT时间、门/急诊输血准备时间、紧急手术术前准备时间、门/急诊停留时间、ICU住院时间、病房住院时间均较对照组短。干预前两组LAC、Hb水平差异无统计学意义(P>0.05),入ICU及病房、手术室时观察组LAC水平均低于对照组,Hb水平均高于对照组,对比差异有统计学意义(P<0.05)。死亡率均较对照组低,对比差异均有统计学意义(P<0.05)。结论:基于警医护一体化改进的救治流程有利于推动救治过程顺利开展,缩短救治时间,提高抢救成功率,有效降低患者死亡率。
To investigate the effect of process improvement based on the integration of police and medical care in the treatment of patients with multiple injuries in the emergency department.Methods:A total of 57 patients with multiple injuries who met the inclusion criteria from January 2023 to June 2023 in the emergency department of a tertiary hospital were selected as the control group,and the routine treatment process was adopted.From July 2023 to December 2023,59 patients who met the inclusion criteria were treated as the observation group,and the treatment process of integrated police and medical care was adopted,and the preparation time and treatment time of the two groups were compared.Lactate(LAC)and hemoglobin(Hb)levels before intervention,at ICU admission,and at ICU discharge;Length of hospital stay and mortality in both groups.Results:Compared with the control group,the pre-hospital emergency transport time,the time from arrival to the emergency department to the completion of rapid CT scan,the preparation time for outpatient/emergency blood transfusion,the preoperative preparation time for emergency surgery,the outpatient/emergency stay time,the ICU stay time,and the ward stay time were shorter than those in the control group.There was no significant difference in the levels of LAC and Hb between the two groups before intervention(P>0.05),and the LAC level in the observation group was lower than that in the control group and higher than that in the control group when admitted to the ICU,ward and operating room,and the contrast difference was statistically significant(P<0.05).The mortality rate was lower than that of the control group,and the difference was statistically significant(P<0.05).Conclusion:The improved treatment process based on the integration of police and medical care is conducive to promoting the smooth development of the treatment process,shortening the treatment time,improving the success rate of rescue,and effectively reducing the mortality rate of patients.
出处
《黑龙江中医药》
2024年第1期169-171,共3页
Heilongjiang Journal of Traditional Chinese Medicine
关键词
警医护一体化
流程改进
多发伤
救治时间
integration of police and medical care
process improvement
multiple injuries
duration of treatment
