社区创伤的院前救护与护理管理调查

Study on pre- hospital care of community trauma and nursing management

目的探讨社区创伤的发病规律及院前救护措施，以提高院前救护水平。方法对我院962例由“120”指挥中心调度出车救治的社区创伤患者进行回顾性分析，采用自设问卷进行调查。结果社区创伤的特点是以交通事故所致的多发伤为主；院前救护措施主要是包扎、止血、固定、吸氧、静脉输液、心肺复苏、气管插管术，环甲膜穿刺术等，其中包扎止血固定术占92．7％。结论早期对创伤患者快速的应急处置与正确的医疗救援十分重要，是提高抢救成功率的关键，而正确的护理管理、准确的医护配合具有至关重要的作用。

Objective To study the morbidity rule of community trauma and prehospital care mea- sures so as to improve the pre-hospital care performance. Methods 962 cases who received pre-hospital care by ＂120＂ commanding center in our hospital were retrospectively analyzed by means of self-designed questionnaires. Results The features of community trauma were mainly multiple trauma caused by traffic accidents, the main pre-hospital care measures included bandaging, hematischesis, pexia, aspiration Of oxy- gen,intravenous injection, cardiopulmonary resuscitation,tracheal intubation and cricothyroid puneture,a- mong which bandaging, hematischesis and pexia accounted for 92.7 per cent. Conduslons Early and rapid treatments to the wounded patients, and correct medical rescue are very important. They are the two key factors to promote the success rate of rescue. At the same time, sound nursing management, correct medical treatment and nursing coordination are also critical aspects.