严重多发伤患者的急救与程序化护理的应用效果

Patients with severe multiple trauma and emergency care procedures for the application of research results

目的探讨对严重多发伤患者进行急救以及实施程序化护理干预措施的效果。方法对我院2009年9月～2011年6月急诊科收治的严重多发伤患者130例根据护理方法不同随机分为观察组(实施程序化护理干预措施)和对照组(常规根据医嘱进行随机化护理),应用统计学方法对两组患者的各项观察指标进行对比分析。结果观察组68例患者入院、出院诊断符合率、抢救成功率均明显高于对照组,而观察组死亡率及MODS发生率明显低于对照组,差异有统计学意义(P<0.05)。观察组68例患者在抢救时间、气管插管所占时间、进行抗休克治疗的时间均明显短于对照组,且观察组APACHEⅡ评分也低于对照组,两组上述各指标组间比较,差异有统计学意义(P<0.05)。观察组68例患者在抢救过程中的血压、心率及呼吸各项生命体征平稳例数均明显多于对照组,而血压、心率及呼吸各项生命体征出现升高的例数明显少于对照组,两组上述各指标组间比较,差异有统计学意义(P<0.05)。结论程序化护理干预有利于降低严重多发伤患者的死亡率、MODS的发生率,缩短抢救时间,值得广泛推广和应用。

Objective To investigate patients with severe multiple trauma first aid and the implementation procedures of the effect of nursing interventions. Methods The hospital in September 2009 June 2011 admitted to the emergency depart- ment with severe multiple trauma care method based on 60 patients randomly divided into two groups （nursing interventions to implement the program） and the control group （conventional random according to doctor＇s orders of care） of the 30 cases, application of statistical methods for the two groups were observed indicators were analyzed. Results The group of 68 pa- tients admitted to hospital discharge diagnosis rate, survival rate was significantly higher,while the observed mortality and MODS group were significantly lower than the control group,the difference was statistically significant （P 〈 0.05）. Observa- tion group of 68 patients with severe multiple trauma patients in the rescue time,the average time for intubation,the anti- shock treatment used in the timing of the time were significantly shorter than the control group, and observation group A- PACHE ]l score lower than the control group,two above parameters between the two groups,the difference was statistically significant （P 〈 0.05 ）. Observation group of 68 patients with severe multiple trauma patients in emergency the process of blood pressure, heart rate and respiratory vital signs were stable and the number of cases were significantly more than the control group ,while blood pressure, heart rate and respiratory vital signs appeared significantly increased the number of pa- tients than the control group,two of the above set of indicators comparisons,the difference was statistically significant （P 〈 0.05）. Conclusion The nursing intervention program helps reduce severe multiple trauma patient mortality, MODS inci- dence, shorten rescue time, it is widely promoted and applied.