多发伤致创伤性失血性休克的急诊救治效果分析

Analysis of Emergency Treatment of Traumatic Hemorrhagic Shock Caused by Multiple Injuries

目的探究多发伤致创伤性失血性休克的急诊救治方法与效果。方法研究对象为方便选取2018年1月-2019年12月该院收治的100例多发伤致创伤性失血性休克患者,包括50例常规急救患者(对照组)与50例程序化急诊急救患者(观察组),回顾分析两组患者救治指标、救治成功率、急救并发症发生率以及患者服务满意率。结果观察组患者分流时间、会诊时间、急诊处理时间分别为(0.83±0.29)min、(2.93±0.43)min、(34.96±5.25)min,对照组患者分流时间、会诊时间、急诊处理时间分别为(1.51±0.35)min、(6.10±3.21)min、(43.855.74)min,差异有统计学意义(t=10.578、6.921、8.081,P<0.05)。观察组救治成功率(94.00%)高于对照组(80.00%),差异有统计学意义(χ^(2)=4.332,P=0.037);观察组急救并发症发生率(6.00%)小于对照组(22.00%),而患者服务满意率(94.00%)高于对照组(80.00%),差异有统计学意义(χ^(2)=5.316,P=0.021;χ^(2)=4.332,P=0.037)。结论对多发伤致创伤性失血性休克患者采取程序化急诊急救,可缩短急救时间,提高急救成功率,降低抢救期间相关并发症的发生率,提高服务质量。

Objective To explore the emergency treatment methods and effects of traumatic hemorrhagic shock caused by multiple injuries.Methods The subjects of the study were conveniently selected from January 2018 to December 2019,totally 100 patients who admitted to the hospital with traumatic hemorrhagic shock caused by multiple injuries,including 50 routine emergency patients(control group)and 50 programmed emergency emergency patients(observation group),retrospective analysis of different patient treatment indicators,treatment success rate,emergency complication rate and patient service satisfaction rate.Results The triage time,consultation time,and emergency treatment time of the observation group were(0.83±0.29)min,(2.93±0.43)min,(34.96±5.25)min,respectively.The triage time,consultation time,and emergency treatment time of the control group were respectively(1.51±0.35)min,(6.10±3.21)min,(43.85±5.74)min,,the difference was statistically significant(t=10.578,6.921,8.081,P<0.05).The treatment success rate of the observation group(94.00%)was higher than that of the control group(80.00%),and the difference was statistically significant(χ^(2)=4.332,P=0.037);the incidence of emergency complications in the observation group(6.00%)was lower than that of the control group(22.00%),and the patient service satisfaction rate(94.00%)was higher than that of the control group(80.00%).The difference was statistically significant(χ^(2)=5.316,P=0.021;χ^(2)=4.332,P=0.037).Conclusion The programmed emergency first aid for patients with traumatic hemorrhagic shock caused by multiple injuries can shorten the time of first aid,increase the success rate of first aid,reduce the incidence of complications relate to rescue time,and improve the quality of service.It is worthy of promotion and application.