余姚市规范化创伤急救体系建设对创伤患者影响的研究

Standardized trauma emergency system improves efficiency of management for severe trauma patients in Yuyao city

目的探讨创伤规范化急救体系建设对严重多发伤患者救治的影响。方法建立院前、院前与院内无缝连接和院内规范化救治的创伤急救体系,以体系建设后295例患者作为研究组,建设前278例患者作为对照组,对两组患者入院前所用时间、转运检查前所用时间、转运检查所用时间、明确诊断时间、手术前所用时间、抢救室滞留时间以及早期病死率、早期漏诊率、并发症发生率和致残率进行比较。结果两组患者入院前和转运检查所用时间比较均无统计学差异(均P>0.05)。两组转运检查前、明确诊断、手术前所用时间和抢救室滞留时间等比较均有统计学差异(均P<0.05)。两组患者早期病死率分别为3.39%和7.55%,并发症发生率分别为15.93%和23.74%,致残率分别为1.36%和4.32%,两组间比较均有统计学差异(均P<0.05);早期漏诊率分别为6.44%和8.27%,两组间比较无统计学差异(P>0.05)。结论规范化创伤急救体系的建立,能够提高本地区严重创伤患者的总体救治效率,降低严重创伤患者的病死率和致残率。

Objective To compare the emergency of standardized trauma emergency system in Yuyao city. efficiency for severe trauma patients before and after establishment Methods A standardized emergency trauma system was established in Yuyao city. Two hundred and ninety five severe trauma patient were admitted in emergency department after system estab- lished （study group） and 278 patients admitted before system established served as control group. The pre-hospital time, time of definitive diagnosis, time to operation, detention time in rescue room and early mortality, missed diagnosis, complications and morbidity were compared between two groups. Results There were no statistical difference pre-hospital reaction time and the time before first check in two groups （both P ~0.05）. The time of definitive diagnosis, time to operation, detention time in rescue room in after group were study than control groups（all P〈0.O5）. Mortality of study group and control group were 3.39% and 7.55% respectively, the complication rates were 15.93% and 23.74%, respectively, and the disability rate were 1.36% and 4.32%, re- spectively（all P〈0.05）. Early missed diagnosis were 6.44% and 8.27% in two groups respectively（P 〉0.05）. Conclusion Stan- dardized trauma emergency system can improve the efficiency of management in patients with severe trauma, reduce the mor- tality and disability rate in patients with severe trauma.