初级创伤救治原则在严重多发伤患者急救护理中的应用

Application of Primary Trauma Care Principle in the Emergency Nursing of Patients with Severe Multiple Injuries

目的探讨对于严重多发伤患者以初级创伤救治原则进行急救护理的效果。方法选取2013年10月1日—2015年10月1日期间,98例严重多发伤患者为观察对象,随机分组;对照组49例采取常规急救方案,观察组49例以初级创伤救治原则,进行急救护理。结果观察组以初级创伤救治原则实施急救护理,现场救治所用时间、转入急诊科所需时间均优于对照组(P<0.05);观察组预后有效率91.84%,对照组预后有效率73.47%(P<0.05);观察组患者住院平均所用时间、住院平均所需费用,均低于对照组(P<0.05)。结论对于严重多发伤患者,以初级创伤救治原则进行急救护理,及时有效,为患者赢得了宝贵的时间降低了病死和致残几率。

Objective To study the effect of primary trauma care principle in the emergency nursing of patients with severe multiple injuries. Methods 98 cases of patients with severe multiple injuries from October 1, 2013 to October 1, 2015 were selected as the observation objects and randomly divided into two groups with 49 cases in each, the control group adopted the routine emergency plan, while the observation group adopted the primary trauma care principle for emergency nursing. Results The emergency nursing was implemented according to the primary trauma care principle in the observation group, and the use time of field treatment and time needed of transferring to the department of emergency in the observation group were better than those in the control group, P〈0.05, the prognosis effective rate was 91.84% in the observation group and 73.47% in the control group, P〈0.05, and the average length of stay and average hospitalization cost in the observation group were lower than those in the control group, P〈0.05. Conclusion For patients with severe multiple injuries, the effect of emergency nursing according to the primary trauma care principle is timely and effective, which wins valuable time for patients and reduces the death rate and disability rate.