摘要
目的探讨急诊医师随车出诊的'急救型'院前急救模式在重症创伤患者中的应用效果。方法回顾性分析2017年1月至2018年1月我院收治的84例重症创伤患者,将接受传统院前急救模式的40例患者设为对照组,将接受急诊医师随车出诊的'急救型'院前急救模式的44例患者设为观察组,比较两组患者的体温恢复时间、乳酸清除时间及PT、APTT恢复时间、围术期相关指标及救治效果。结果观察组体温恢复时间、乳酸清除时间及凝血功能恢复时间均比对照组少(P<0.05);观察组各围术期指标(院前抢救时间、急诊抢救时间、术中出血量、ICU监护天数及住院天数)均比对照组少(P<0.05);观察组的住院前病死率、致残率及并发症发生率均比对照组低(P<0.05);在住院病死率上两组无明显差异(P>0.05)。结论在重症创伤患者中实施急诊医师随车出诊的'急救型'院前急救模式,能有效改善患者凝血功能及救治效果,具有较高的临床应用价值。
Objective To explore the application effects of'first aid type'pre-hospital emergency model with emergency physician participation in patients with severe trauma.Methods 84 cases of patients with severe trauma admitted to our hospital from January 2017 to January 2018 were retrospectively analyzed.40 cases who received traditional pre-hospital emergency model from January 2017 to June 2017 were used as control group,and44 cases who were given'first aid type'pre-hospital emergency model with emergency physician participation were set as observation group.The temperature recovery time,lactate clearance time,recovery times of PT and APTT,perioperative related indicators and treatment effects were compared between the two groups.Results The temperature recovery time,lactate clearance time and recovery time of coagulation function in observation group were less than those in control group(P<0.05).Perioperative indicators(pre-hospital rescue time,emergency rescue time,intraoperative blood loss,ICU monitoring days and hospital stay in observation group were lower than those in control group(P<0.05).The prehospital mortality rate,disability rate and incidence rate of complications in observation group were lower than those in control group(P<0.05).There was no significant difference in hospitalization mortality rate(P>0.05).Conclusion Among patients with severe trauma,'first aid type'pre-hospital emergency model with emergency physician participation can effectively improve the coagulation function and treatment effects of patients,and has high clinical application value.
作者
陈琼
CHEN Qiong(Department of Emergency,Henan Provincial People's Hospital,Zhengzhou 450003,Henan Province,China)
出处
《罕少疾病杂志》
2019年第4期73-75,共3页
Journal of Rare and Uncommon Diseases
关键词
急诊医师
“急救型”院前急救模式
重症创伤患者
Emergency Physician
'first aid type'Pre-hospital Emergency Model
Patients with Severe Trauma
