院前急救对腹部闭合性损伤患者临床疗效及预后影响的研究

Study of the influence on clinical efficacy and prognosis in patients with closed abdominal trauma pre hospital emergency

目的:探讨院前急救对腹部损伤患者的临床疗效及预后影响。方法:选择62例单纯腹部闭合性损伤患者,随机分为对照组与急救组,每组31例。对照组未进行院前急救,入院后采用常规急救措施实施救治,急救组实施院前急救。比较两组患者的总有效率、死亡率及平均急救时间。结果:对照组患者总有效率为61.3%,平均急救时间(35.2±4.3)min,死亡率为6.5%。急救组总有效率为87.1%,急救时间(19.4±4.6)min,死亡率为3.2%,急救组总有效率高于对照组,平均急救时间及死亡率低于对照组,差异有统计学意义(P<0.05)。结论:对腹部闭合性损伤患者实施积极有效的院前急救可以明显提高疗效及预后,显著缩短急救时间并大大降低死亡率。

Objective To investigate the effect of pre hospital emergency abdominal clinical curative effect and prognosis of the patients with injury.Methods 62 cases of closed abdominal injury patients,were randomly divided into control group and treatment group,each group of 31 cases.The control group without a hospital first aid,after admission by routine first aid measures treatment,the implementation ofpre hospital emergency care group.Comparing the two groups of patients with total effective rate,mortality and average service time.Results The patients in the control group the total effective rate was 61.3%,the average treatment time（35.2 _＋ 4.3）min,the mortality rate was 6.5%.Emergency treatment group total effectiveness is 87.1%,emergency time（19.4 ~ 4.6）min,the mortality rate was 3.2%,the total efficiency of treatment group was higher than that in the control group,the average service time and the mortality rate was lower than the control group,the difference was statisticallysignificant（P 〈 0.05）.Conclusion The active and effective implementation of hospital patients with blunt abdominal trauma first aid can significantly improve the curative effect and prognosis,significantly shorten the first-aid time and greatly reduce the mortality rate.