“五根管道”模式在特重度烧伤患者急救护理中的应用

The application of " five-tube" treatment mode in emergency care of very severe burn patients

目的研究"五根管道"模式在急诊特重度烧伤患者急救护理中的应用效果。方法 2011年1月至2013年1月18例特重度烧伤患者为实验组,在急救护理过程中采用"五根管道"(静脉置管、吸氧管、气管切开管、留置导尿管、留置胃管)模式有序进行急救护理;对照组为2008年1月至2010年12月21例特重度烧伤患者,按传统医嘱执行方法进行急救护理。对2组患者的有效抢救时间进行统计分析。结果实验组建立静脉通道时间(7.7±4.0)min,缺氧改善时间(11.5±6.2)min,早期有效救治时间(35.9±9.5)min,均比对照组缩短,患者死亡率也较对照组降低,2组比较差异均有统计学意义(P<0.01)。结论 "五根管道"模式在特重度烧伤患者急救护理中有应用推广价值。

Objective To investigate the effect of ＂ five-tube＂ treatment mode on emergency care of very severe burn patients. Methods Eighteen very severe burn patients admitted into the hospital from January 2011 to January 2013 were chosen as the experimental group. The ＂ five-tube＂（ i. e. the intravenous catheter,the oxygen-breathing tube,the tracheotomy tube,the indwelling urinary catheter and the indwelling gastric tube） treatment mode was applied in the emergency care of the patients. The patients in the control group were 21 very severe burn patients admitted into the hospital from January 2008 to December 2010. They all received conventional emergency treatment and nursing care during the whole treatment course. Then,statistical analysis was made on the time of effective emergency care. Results The time for the establishment of intravenous passage was（ 7. 7 ± 4. 0） min,the time for the improvement of hypoxia was（ 11. 5 ± 6. 2） min,and the time for early effective treatment was（ 35. 9 ± 9. 5） min,which were all significantly shortened,as compared with those of the control group. Rate of mortality for the experimental group was also significantly reduced,and statistical differences could be seen,when comparisons were made between the 2 groups（ P〈0. 01）. Conclusion The ＂ fivetube＂ treatment mode was worth further clinical extension in the emergency care of severe burn patients.