摘要
目的探讨急诊科建立严重创伤患者绿色通道的相应护理措施。方法横断面整群选取实验组2012-03至2014-03进入急诊创伤急救绿色通道的100例和对照组2009-01~2012-01急诊科损伤严重度评分（injury severity score,ISS）≥16或简明损伤定级（abbreviated injury scale,AIS）≥3的88例患者进行分析,通过开展急诊创伤患者绿色通道及实施相应护理措施,将实验组患者在急救过程中重要环节（输血时间、急诊手术时间）、重要指标（抢救成功率）与对照组进行对比。结果实验组进入绿色通道后30 min内输血例数明显大于对照组,其抢救室抢救成功例数（抢救成功率）也大于对照组,差异均有统计学意义（P〈0.05）;实验组从入院到急诊手术时间与对照组相比明显缩短,两组比较,差异有统计学意义（P〈0.05）。结论通过开展严重创伤急诊绿色通道及实施相应护理措施,患者的诊疗时间、抢救用血时间明显缩短,保证了患者安全,提高了抢救成功率、改善了护士的护理质量。
Objective To explore the corresponding nursing measures in emergency department patients with severe trauma of the establishment of Easy Access. Methods 100 cases of experimental group in the emergency trauma easy access emergency treatment from 2012 March to 2014 March,and 88 cases of control group with（ ISS） ≥ 16 or abbreviated injury scale（ AIS） ≥ 3 in emergency department from 2009 January to 2012 January were selected with cross-sectional cluster randomization for the analysis. The important links（ transfusion time,emergency operation time） in emergency process,important indexes（ success rate） of experimental group were compared with those of control group,by the means of carrying out easy access for emergency trauma patients and conducting appropriate nursing measures. Results Blood transfusion within 30 minutes after entering the easy access in experimental group were significantly higher than that of control group,the number of successful cases in resuscitation room（ rescue success rate） were compared between the two groups,both the differences were statistically significant（ P〈0. 05）; the time of experimental from admission to the emergency operation was obviously shortened compared with the control group,and the difference was statistical significant（ P〈0.05）. Conclusions Through the development of severe trauma easy access and appropriate nursing measures,the patient＇s diagnosis and treatment time,save the blood time shortened,ensure the safety of patients,increase the success rate,and improve the quality of care nurse.
出处
《中华灾害救援医学》
2014年第5期260-262,共3页
Chinese Journal of Disaster Medicine
关键词
严重创伤患者
绿色通道救治
护理措施
patients with severe trauma
easy access treatment
nursing intervention
