摘要
目的:探究急诊一体化救治模式在重型颅脑外伤合并多发伤患者急诊救治中的应用效果。方法:选择笔者所在医院2017年1月-2019年10月收治的104例重型颅脑外伤合并多发伤患者作为研究对象,采用单双号法分为两组,单号为对照组(52例),采用常规急诊救治,双号为研究组(52例),采用急诊一体化救治,对比两组救治前后格拉斯哥昏迷指数(GCS)评分、合并器官损伤数,送诊时间、到手术时间及救治结局情况。结果:救治前两组GCS评分对比差异无统计学意义(P>0.05),救治后研究组评分高于对照组,且研究组合并器官损伤数低于对照组,差异均有统计学意义(P<0.05);研究组送诊时间、到手术时间均短于对照组,差异均有统计学意义(P<0.05);研究组恢复良好率高于对照组,死亡率低于对照组,差异均有统计学意义(P<0.05)。结论:急诊一体化救治模式在重型颅脑外伤合并多发伤患者急诊救治中的应用效果显著,可为患者争取更多的抢救时间,从而能减轻其器官损伤和改善其预后。
Objective:To investigate the effect of integrated emergency treatment model in emergency treatment of patients with severe traumatic brain injury combined with multiple injuries.Method:A total of 104 patients with severe traumatic brain trauma and multiple injuries who were treated in our hospital from January 2017 to October 2019 were selected as the research subjects.Patients were grouped by the single and double numbers method,single number was control group (52 cases),routine emergency treatment was used,double number was research group (52 cases),emergency integrated treatment was used.The Glasgow coma index (GCS) score,combined organ injury number,time of delivery,time of operation and outcome of treatment were compared between the two groups.Result:There was no significant difference in GCS scores between the two groups before treatment (P>0.05).After treatment,the scores in the study group were higher than those in the control group,and the number of organ injuries in the study group was lower than that in the control group,the differences were statistically significant (P<0.05).The time of delivery and operation in the study group was shorter than that in the control group,the difference was statistically significant (P<0.05).The good recovery rate in the study group was higher than that in the control group,and the mortality rate was lower than that in the control group,the differences were statistically significant (P<0.05).Conclusion:The integrated emergency treatment model has a significant effect on the emergency treatment of patients with severe traumatic brain trauma combined with multiple injuries,which can win more rescue time for patients,which can reduce their organ damage and improve their prognosis.
作者
韦刚
WEI Gang(Hechi People’s Hospital,Hechi 547000,China)
出处
《中外医学研究》
2020年第11期160-162,共3页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
重型颅脑外伤
多发伤
急诊
救治
效果
Severe craniocerebral trauma
Multiple injuries
Emergency
Treatment
Effect
