序贯评估病情对颅脑外伤患者院前急救效率及预后的影响

Effect of sequential severity evaluation on first aid efficiency and prognosis in craniocerebral trauma patients

目的探讨序贯评估病情在颅脑外伤院前急救中的应用。方法将100例颅脑外伤的患者按照院前急救护理的不同分为观察组和对照组，对照组采用常规护理，观察组采用序贯评估病情后实施急救护理，比较两组的抢救效率及预后。结果观察组呼救至专业治疗的时间、医院反应时间显著短于对照组，院前死亡率显著少于对照组，差异有统计学意义（P〈0．05）。观察组的GOS良好率、家属的护理满意度显著高于对照组，差异有统计学意义（P〈0．05）。结论序贯评估病情有利于提高颅脑外伤患者的抢救效果，降低死亡率，改善预后。

Objective To investigate the application of sequential severity evaluation in pre - hospital emergency of craniocerebral trauma. Methods A total of 100 cases of pre - hospital emergency craniocerebral trauma patients were divided into the observation group and the control group, the control group was received routine nursing, the observation group was given sequential severity evaluation for first aid nursing, rescue efficiency and prognosis were compared between the two groups. Results The emergency call and treatment, hospital reaction time in the observation group were significantly shorter than those in the control group, the pre - hospital mortality was significantly less than that in the control group （P 〈 0. 05） . The observation group GOS good rate, family nursing satisfaction rate were significantly higher than those in the control group （ P 〈 0. 05 ） . Conclusions Sequential severity evaluation can improve rescue effect and the prognosis, reduce mortality in craniocerebral trauma patients.