摘要
目的探究采用早期集束化急救策略治疗严重多发伤的运用情况。方法整群选择该院2013年2月—2015年2月收治的严重多发伤患者122例,分为观察组、对照组,各61例。对照组采取一般监护治疗措施,观察组采取早期集束化急救策略。对比两组在入院时、入院后1 h以及入院后24 h的乳酸(Lac)、血红蛋白(Hb)和血气指标,并且比较两组检查花费时间、平均住ICU时间、急诊手术率、漏诊率以及病死率情况。结果观察组在入院后1 h和24 h的Lac、Hb以及血气指标均显著优于对照组,差异有统计学意义(P<0.05)。观察组病死率为13.11%(8/61),漏诊率为4.92%(3/61),均显著低于对照组的病死率31.15%(19/61),漏诊率为13.11%(8/61),差异有统计学意义(P<0.05);观察组急诊手术率为83.61%(51/61),显著高于对照的70.49%(43/61),差异有统计学意义(P<0.05);观察组检查花费时间和平均住ICU时间均显著低于对照组,差异有统计学意义(P<0.05)。结论对于严重多发伤患者采取早期集束化急救策略可显著提高抢救率,降低死亡率,值得临床推广。
Objective To explore the effect of early bundle emergency treatment strategy on severe multiple injuries.Methods 122 patients with severe multiple injuries admitted in our hospital from February 2013 to February 2015 were selected and divided into observation group and control group, 61 cases in each group. The control group took the general monitoring and treatment, the observation group adopted early bundle emergency treatment strategy. The levels of lactate（Lac）, hemoglobin（Hb） and blood gas indexes on admission and 1h after admission and 24 h after admission, time for examining, mean length of stay in the ICU, emergency operation rate, missed diagnosis rate and the mortality rate of the two groups were compared. Results The levels of Lac, Hb and blood gas indexes 1h and 24 h after admission in the observation group were significantly better than those in the control group（P〈0.05）. Compared with the control group, the observation group had much lower mortality[13.11%（8/61） vs 31.15%（19/61）], obviously lower missed diagnosis rate [4.92%（3/61） vs13.11%（8/61）] with statistically significant difference（P〈0.05）. The emergency operation rate was much higher in the observation group than that in the control group[83.61%（51/61） vs 70.49%（43/61）] with statistically significant difference（P〈0.05）. The time for examining and mean length of stay in the ICU was much shorter in the observation group than that in the control group, respectively with statistically significant difference（P〈0.05）. Conclusion For severe multiple injuries,early bundle emergency treatment can significantly improve the successful rescue rate and reduce the mortality, so it is worthy of clinical promotion.
出处
《中外医疗》
2016年第2期18-19,22,共3页
China & Foreign Medical Treatment
关键词
集束化急救
严重多发伤
运用效果
Bundle emergency treatment
Severe multiple injuries
Application effect
