摘要
目的:探讨医疗设备联合多点监测评估方法在寒冷损伤患者治疗中的临床应用价值。方法:选取医院急诊科接治的78例寒冷损伤患者,根据治疗方法的不同将其分为观察组(40例)和对照组(38例),观察组采用医疗设备联合多点监测治疗方法,对照组采用传统单点体温监测治疗方法。观察对比两组患者治疗过程中并发症发生情况,对比分析两组患者急性生理学及慢性健康评估(APACHE)评分、序贯器官衰竭评估(SOFA)评分、创面愈合时间和治愈率情况;以急诊科医生、护士、医疗设备管理人员、患者及家属作为调研对象,开展调研数据采集,统计调研对象对医疗设备实用性、诊疗方案可行性、护理服务规范性、治疗效果有效性等的满意度。结果:观察组患者寒冷损伤治疗过程中发生红痒肿痛、水疱感染、糜烂破溃、组织坏死及湿性坏疽的比例均低于对照组,差异有统计学意义(x^(2)=5.933,x^(2)=8.681,x^(2)=6.802,x^(2)=6.842,x^(2)=4.438;P<0.05);观察组患者APACHE评分、SOFA评分、创面愈合时间及有效治愈率好于对照组,差异有统计学意义(F=21.658,F=10.939,F=14.545,F=9.733;P<0.05);调研对象对观察组在医疗设备实用性、诊疗方案可行性、护理服务规范性及治疗效果有效性等方面的满意度高于对照组,差异有统计学意义(F=8.991,F=18.485,F=14.107,F=11.768;P<0.05)。结论:医疗设备联合多点监测方法可全面评估寒冷损伤程度,降低并发症发生率,提高了临床治愈效果,在寒冷损伤患者治疗中具有较高的应用价值。
Objective:To explore the clinical application value of medical equipment combined with multi-point monitoring assessment method in the treatment of patients with cold injury.Methods:A total of 78 patients with cold injury who admitted to emergency department of hospital were selected and they were divided into observation group(40 cases) and control group(38 cases) according to the differences of admitted time and treatment methods.The observation group adopted the treatment method of medical equipment combined with multi-point monitoring,and the control group adopted the treatment method of conventional single point monitoring for temperature.The occurrence of complication in therapeutic process between two groups was observed and compared.And the acute physiology and chronic health evaluation(APACHE) score,sequential organ failure assessment(SOFA) score,healing time of wound and the cure rate between two groups were compared and analyzed.In addition,the doctors,nurses,administrative staffs of medical equipment,patient and family members of them were chosen as research objects to perform investigation and collect data.And the satisfactions of research objects for the practicality of medical equipment,the feasibility of diagnosis and treatment plan,the standardization of nursing service and the validity of therapeutic effect were calculated as statistic method.Results:The proportions of occurring red itching,swelling and pain,blister infection,erosion and ulceration,tissue necrosis and wet gangrene in the treatment of cold injury of observation group were significantly lower than those of control group,and the differences of them between two groups were statistically significant(x^(2)=5.933,x^(2)=8.681,x^(2)=6.802,x^(2)=6.842,x^(2)=4.438,P<0.05).The APACHE score,SOFA score,wound healing time and effective cure rate in observation group were better than those in the control group,and the differences were statistically significant(F=21.658,F=10.939,F=14.545,F=9.733,P<0.05).The satisfactions of research objects abou
作者
薛乾隆
金小乐
王慧
高飞
李琳琳
王佳
杨李鹏
张志斌
焦会珍
XUE Qian-long;JIN Xiao-le;WANG Hui(Department of Emergency,The First Affiliated Hospital of Hebei North University,Zhangjiakou 075000,China;不详)
出处
《中国医学装备》
2022年第8期118-122,共5页
China Medical Equipment
基金
2020年河北省科技计划(20477710D)“科技冬奥专项:冰雪爱好者寒冷损伤的机制及临床研究”。
关键词
医疗设备
多点监测评估
寒冷损伤
创面愈合
并发症
序贯器官衰竭评估(SOFA)
Medical equipment
Multi-point monitoring assessment
Cold injury
Wound healing
Complication
Sequential organ failure assessment(SOFA)
