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(1)
【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。
【关键词】 重型颅脑外伤 多发伤 急诊 救治 效果
[Abstract] 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.
重型顱脑损伤是临床常见危急重症，指的是颅脑组织损伤后昏迷6 h以上或再次昏迷者，多由直接或间接暴力作用于头部所致[1]。重型颅脑损伤具有病因复杂、病情变化快、病情危重等特点，常与多发伤合并存在，不仅会累及患者呼吸、循环系统，且还会威胁其生命安全，因此，临床需尽早采取有效方案对患者进行急诊治疗，才能降低其病死率和提高其预后生活质量[2]。本文主要探究了重型颅脑外伤合并多发伤患者急诊救治方法和效果，现报告如下。, http://www.100md.com(韦刚)
【关键词】 重型颅脑外伤 多发伤 急诊 救治 效果
[Abstract] 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.
重型顱脑损伤是临床常见危急重症，指的是颅脑组织损伤后昏迷6 h以上或再次昏迷者，多由直接或间接暴力作用于头部所致[1]。重型颅脑损伤具有病因复杂、病情变化快、病情危重等特点，常与多发伤合并存在，不仅会累及患者呼吸、循环系统，且还会威胁其生命安全，因此，临床需尽早采取有效方案对患者进行急诊治疗，才能降低其病死率和提高其预后生活质量[2]。本文主要探究了重型颅脑外伤合并多发伤患者急诊救治方法和效果，现报告如下。, http://www.100md.com(韦刚)