摘要
目的观察对于患者发生车祸多发伤者采用院前急救方案的应用效果观察分析。方法选取我院2014年10月~2017年10月收治120例车祸多发伤患者,其中经我院120出诊行院前急救方案的77例患者设为院前组,另43例于其他渠道未行院前急救方案于我院急诊治疗者为对照组。分析两组抢救成功率、致残率、死亡率、急诊处置时间、总住院时间差异。结果院前组抢救成功率为96.1%,致残率为24.68%,死亡率为3.9%,而对照组分别为83.72%、46.51%、16.28%,院前组急诊处置时间与总住院时间分别为(54.56±12.69)min和(21.37±8.76)d、明显少于对照组的(72.93±15.27)min和(31.65±12.38)d,差异有统计学意义(P<0.01)。两组的人员集合时间和救护车出诊时间相比,对照组分别为(1.8±0.6)min和(5.2±1.2)min,显著慢于观察组的(1.1±0.3)min和(3.3±0.9)min。差异有统计学意义(P<0.05)。结论对于车多多发伤患者,应用院前急救方案,可有效提高患者抢救成功率,降低致残率与死亡率,缩短急诊处置时间尽早接受治疗,并减少住院时间,效果理想。
Objective To observe and analyze the application effect of pre hospital emergency plan for the patients with multiple injuries in car accident. Methods From October 2014 to October 2017,a total of 120 cases of patients with multiple injury accident in our hospital were selected,Among them,77 cases of pre hospital emergency treatment in our hospital by 120 visits were set up as pre hospital group,and the other 43 cases in other channels without pre hospital emergency treatment were set up as the control group in our hospital.The differences and similarities between the two groups were analyzed,such as the rescue success rate,the rate of disability,the death rate,the time of emergency treatment and the total hospitalization time. Results The rescue success rate was 96.1%,the disability rate was 24.68%,the mortality rate was 3.9% of pre hospital group,while the control group was 83.72%,46.51%,16.28%,the pre hospital emergency treatment time and total hospitalization time was（54.56±12.69）min and（21.37±8.76）d,and significantly less than those of control group which were（72.93±15.27）min and（31.65±12.38）d,the difference was statistically significant（P〈0.05）.The time of group collection and ambulance visits in the pre hospital group were（1.8±0.6）min and（5.2±1.2）min respectively,which were significantly slower than those in the observation group which were（1.1±0.3）min and（3.3±0.9） min（P〈0.05）. Conclusion The application of pre hospital emergency plan for patients with multiple injuries in car accident can effectively improve the success rate of patients,reduce the rate of disability and mortality,shorten the time of emergency treatment and reduce the time of hospitalization,and the effect is ideal.
作者
吴其华
WU Qihua(Department of Emergency,Guangning County People＇s Hospital,Guangning 526300,Chin)
出处
《中国医药科学》
2018年第9期255-257,共3页
China Medicine And Pharmacy
关键词
车祸多发伤
院前急救方案
应用效果观察分析
抢救成功率
Multiple injuries in car accident
Pre hospital emergency plan
Observation and analysis of application effect
Rescue success rate
