摘要
目的:探讨危机管理联合外伤急救模式对急诊颅脑损伤患者神经功能缺损(NIHSS)及昏迷(GCS)评分的影响。方法:选取2018年1-12月赣南医学院第一附属医院急诊科收治的48例急诊颅脑损伤患者,采用外伤急救模式,设为对照组;选取2019年1-12月赣南医学院第一附属医院急诊科收治的48例急诊颅脑损伤患者,采用危机管理联合外伤急救模式,设为观察组。比较两组急救时间、NIHSS及GCS评分、预后、转运意外事件发生情况。结果:观察组院前急救、急诊救治、辅助检查时间及受伤至手术时间均短于对照组(P<0.05)。急救后,观察组NIHSS评分低于对照组,GCS评分高于对照组,差异均有统计学意义(P<0.05)。观察组急救总有效率为95.83%,高于对照组的77.08%(P<0.05);观察组转运意外事件发生率为2.08%,低于对照组的18.75%(P<0.05)。结论:危机管理联合外伤急救模式应用于急诊颅脑损伤患者,可改善神经功能、昏迷程度,缩短急救时间,预防意外事件,改善预后,可推广使用。
Objective:To explore the effect of crisis management combined with trauma emergency mode on NIHSS and GCS scores of patients with emergency craniocerebral injury.Method:A total of 48 cases of emergency craniocerebral injury patients admitted to the Emergency Department of the First Affiliated Hospital of Gannan Medical College from January to December 2018 were selected as the control group using trauma emergency mode,and 48 cases of emergency craniocerebral injury patients admitted to the Emergency Department of the First Affiliated Hospital of Gannan Medical College from January to December 2019 were selected as the observation group using crisis management combined with trauma emergency mode.The emergency time,NIHSS and GCS scores,prognosis and occurrence of accidents were compared between two groups.Result:The time of pre hospital first aid,emergency treatment,auxiliary examination and the time from injury to operation in the observation group were shorter than those in the control group(P<0.05).After emergency treatment,NIHSS score in the observation group was lower than that in the control group,and GCS score was higher than that in the control group,the differences were statistically significant(P<0.05).The total effective rate of emergency treatment in the observation group was 95.83%,which was higher than 77.08%in the control group(P<0.05).The incidence of accidents in the observation group was 2.08%,which was lower than 18.75%in the control group(P<0.05).Conclusion:The application of crisis management combined with trauma emergency mode in patients with emergency craniocerebral injury can improve neurological function,coma degree,shorten emergency time,prevent accidents and improve prognosis,which can be widely used.
作者
刘玉萍
LIU Yuping(First Affiliated Hospital of Gannan Medical College,Ganzhou 341000,China)
出处
《中国医学创新》
CAS
2022年第1期171-174,共4页
Medical Innovation of China
