院前急救护理流程在基层医院胸腹联合伤患者中的应用

The application of the pre-hospital emergency care for the patients with thoracoabdominal injury in primary hospital

目的:探讨院前急救护理流程在基层医院胸腹联合伤患者中的应用效果。方法:采用非同期对照研究,选取2011年6月至2013年6月胸腹联合伤患者96例作为观察组,2011年6月以前接诊的胸腹联合伤患者56例作为对照组。对照组采用传统院前急救护理,观察组采用程序化、规范化的院前急救护理流程。对2组患者的院内反应时间、急救成功率、急救病死率以及院前救护满意度进行比较。结果:观察组院前急救院内反应时间明显短于对照组(P<0.01);观察组院前急救成功率92.7%,高于对照组的80.4%,而急救病死率(7.3%)低于对照组(19.6%)(P<0.05);观察组对院前救护满意率为95.9%,明显高于对照组的82.1%(P<0.01)。结论:程序化、规范化的院前急救护理流程在基层医院胸腹联合伤患者中的应用效果较好,可为院内进一步救治赢得时机,有助于提高抢救成功率和患者满意度。

Objective：To investigate the application effects of the pre-hospital emergency care for the patients with thoracoabdominal injury in primary hospital.Methods：Nighty-six patients with thoracoabdominal injury from June 2011 to June 2013 and 56 patients with thoracoabdominal injury before June 2011 were divided into the observation group and control group,respectively.The control group were treated with conventional care,and the observation group were treated with the procedural and standardized pre-hospital emergency care.The preparation time in hospital,the success and death rate of rescuing and patient satisfaction between two groups were compared.Results：The preparation time in hospital in observation group was significantly shorter than that in control group（P ＜ 0.01）.The success rate of rescuing and patient satisfaction in observation group（92.7％ and 95.9％） were higher than those in control group （80.4％ and 82.1％） （（P ＜ 0.05 and P ＜ 0.01）,respectively.The death rate of rescuing in observation group （7.3％） was significantly less than that in control group（19.6％）（P ＜ 0.05）.Conclusions：The effects of the procedural and standardized prehospital emergency care for the patients with thoracoabdominal injury in primary hospital are good,which can improve the success rate and patient satisfaction.