流程化控制在急诊内科昏迷患者抢救的应用效果

Application Efficacy of Process Control in rescuing Coma Patients of Emergency Internal Medicine

目的探讨流程化控制在急诊内科昏迷患者抢救应用效果。方法将江门市新会区人民医院急诊科2016年1月—2017年5月间收治的昏迷患者96例作为研究对象,按照入组时间段分为对照组(n=49)及观察组(n=47),对照组患者实施常规处理,观察组严格遵照急诊昏迷患者流程化控制图处理,比较两组患者的抢救效果、各项救治反应时间及并发症发生率。结果观察组患者的抢救效果显著优于对照组,观察组抢救总有效率(97.8%vs85.7%)显著高于对照组;观察组CT或心电图检查时间[(24.1±6.2)min vs(30.8±7.9)min]、血化验单获取时间[(14.2±4.1)min vs(18.9±5.6)min]、接诊至抢救实施时间[(3.7±1.1)min vs(6.2±1.4)min]、清醒时间(118.9±41.5 min vs 154.2±48.7 min)均显著低于对照组;观察组并发症发生率显著低于对照组(4.3%vs 18.4%)。结论流程化控制在急诊内科昏迷患者应用可提升抢救效果,缩短各项救治反应时间及患者清醒时间,降低并发症发生率。

Objective To explore the efficacy of process control in rescuing coma patients of Emergency Internal Medicine.Methods 96 patients with coma were enrolled in the department from January,2016 to May,2017. The patients were divided into control group（ n = 49） and the observation group（ n = 47） according to the time of enrollment. The patients in the control group were treated with routine control. The observation group was followed according to the process control chart of the emergency coma patients.Results The rescue efficacy of the observation group was better than the control group. The response time and the complication rate were compared between the two groups. The total effective rate（ 97. 8% vs 85. 7%） in the observation group was significantly higher than that in the control group（ P〈0. 05）. The observation time of or electrocardiogram in the observation group was（ 24. 1 ± 6. 2） min vs（ 30. 8 ± 7. 9） min,time of receiring laboratory test report was（ 14. 2 ± 4. 1） min vs.（ 18. 9 ± 5. 6） min,time of reception to resure was（ 3. 7 ± 1. 1） min vs.（ 6. 2 ± 1. 4） min,and the awake time was（ 118. 9 ± 41. 5） min vs（ 154. 2 ± 48. 7） min. These were all lower than the control group. The incidence of complication in the observation group was significantly lower than that in the control group（ 4. 3% vs 18. 4%）. Conclusion The application of process control in emergency coma patients can improve the rescue efficacy,shorten the response time and awake time,and reduce the incidence of complications.