摘要
目的分析急诊救治一体化新模式在重症颅脑创伤并意识障碍患者救治中的应用效果。方法选取2016年1月—2017年6月哈尔滨医科大学附属第一医院收治的重症颅脑创伤并意识障碍患者164例,采用随机数字表法分为对照组与观察组,每组82例。对照组患者采用常规急诊救治模式进行救治,观察组患者采用急诊救治一体化新模式进行救治。比较两组患者有效救治时间、抢救成功率、致残率、病死率、预后及患者家属满意度。结果观察组患者急诊抢救持续时间、多科会诊等候时间、辅助检查等候时间、神经外科转运至手术室时间短于对照组(P<0.05)。观察组患者抢救成功率高于对照组,致残率低于对照组(P<0.05);两组患者病死率比较,差异无统计学意义(P>0.05)。观察组患者预后优于对照组(P<0.05)。观察组患者家属对急救护理操作、护理服务态度、护理效果的满意度评分高于对照组(P<0.05)。结论急诊救治一体化新模式在重症颅脑创伤并意识障碍患者救治中的应用效果良好,可有效提高患者转运效率、抢救成功率及患者家属满意度,降低患者致残率,改善患者预后。
ObjectiveTo analyze the application effect of Incorporate Emergency Rescue Mode in severe craniocerebral trauma patients complicated with consciousness disorders. MethodsA total of 164 severe craniocerebral trauma patients complicated with consciousness disorders were selected in the First Hospital Affiliated to Harbin Medical University from January 2016 to June 2017,and they were divided into control group and observation group according to random number table,each of 82 cases. Patients in control group received routine emergency rescue mode,while patients in observation group received Incorporate Emergency Rescue Mode. Time for effective emergency rescue,success rate of rescue,disability rate,fatality rate,prognosis and satisfaction of patients＇ family members were compared between the two groups. ResultsDuration of emergency rescue,waiting interval of multi-disciplinary consultation and assistant examination,translocation time between Department of Neurosurgery and Operating Room in observation group were statistically significantly shorter than those in control group（P〈0.05）. Success rate of rescue in observation group was statistically significantly higher than that in control group,disability rate in observation group was statistically significantly lower than that in control group（P〈0.05）,while no statistically significant differences of fatality rate was found between the two groups（P〉0.05）. Prognosis in observation group was statistically significantly better than that in control group（P〈0.05）. Satisfaction score of emergency nursing procedures,nursing service attitude and nursing effect of patients＇ family members in observation group was statistically significantly higher than that in control group,respectively（P〈0.05）. Conclusion Incorporate Emergency Rescue Mode has good application effect in severe craniocerebral trauma patients complicated with consciousness disorders,can effectively improve the translocation effi
作者
陈庆博
赵旭
苗元芳
翟蕴凤
贾学仟
CHEN Qing-bo;ZHAO Xu;MIAO Yuan-fang;ZHAI Yun-feng;JIA Xue-qian(Department of Neurosurgery,the First Hospital Affiliated to Harbin Medical University,Harbin 150000,China)
出处
《实用心脑肺血管病杂志》
2018年第8期70-73,共4页
Practical Journal of Cardiac Cerebral Pneumal and Vascular Disease
基金
国家临床重点专科建设项目(2012649)
关键词
颅脑损伤
意识障碍
急诊救治一体化新模式
治疗结果
Craniocerebral trauma
Consciousness disorders
Incorporate emergency rescue mode
Treatment outcome
