外伤五大技术在某区车祸患者院前急救中的运用分析

The Application Five Technologies of Accident Injuries in A District Hospital in the Use of First Aid

目的分析与比较急救中心推广运用外伤五大技术前后车祸患者院前处理情况。方法对本中心推广应用外伤五大技术前的2007年与应用后的2009年现场转运的车祸患者院前急救情况进行对比分析,比较该技术推广应用前后车祸患者现场抢救的及时程度和效果。结果 2007年度车祸患者现场抢救的病情改善率为0.42%,病死率为2.40%;2009年实施外伤五大技术后,病情改善率上升为3.92%(P<0.01),病死率下降至1.84,病情改善率上升了8.33倍,病死率下降了23.33%。2007和2009年度车祸患者抢救救护车到达现场的时间分别为(17.2±6.8)min和(13.6±5.7)min(P<0.01),现场抢救的时间分别为(6.6±5.7)min和(8.2±4.9)min(P<0.01)。两个年度车祸患者的受伤部位分布和病情分布也有显著统计学差异(P<0.01),2007年的四肢伤较常见,2009年以其他部位损伤较常见。结论推广应用外伤五大技术对车祸患者进行现场抢救,可显著提高病情改善率,有可能降低病死率。

Objective Analyse and compare effect of five skills trauma on handling with car accident jury patients in our emergence center.Methods We selected patients without using five skills trauma in 2007 and using five skills trauma 2009,then analyzed effort of the skill for resuing patients.Result In 2007 the rate of improving disease condition was 0.42%,the morbidity was 2.40% in car accident,using five skills trauma in 2009,the rate of improving disease condition was 3.92%,which was significantly different（P0.01） the morbidity was1.84%,increasing 8.33 fold in rate of improving disease condition,morbidity rate decreasing 23.33%,arrival time for car accident was（17.2±6.8）minutes and（13.6±5.7）minutes（P0.01）,resue time were（6.6±5.7）minutes and（8.2±4.9）minutes respectively in 2007 and 2009.The position and condition of patients in 2007 and 2009 were significantly different（P0.01）,four limbs injury was common in2007,the other parts injury except four limbs in 2009.Conclusion It is important to promote using five skills trauma for rescue,which can improve the condition of disease of injury patients and decrease the morbidity.