预见性护理干预对腹外伤合并休克患者急救的临床价值

Clinical value of predictive nursing intervention in patients with abdominal trauma combined with shock

目的探讨预见性护理在腹外伤合并休克患者急救中的应用价值。方法以我院急诊科于2016年1月~2016年12月期间收治的30例腹外伤合并休克患者作为研究对象，采用平行随机抽样法将其分为对照组与观察组各15例，对照组给予常规护理，观察组在常规护理的基础上开展预见性护理，对比2组的抢救介入时间与患者预后情况。结果(1)观察组的抢救介入时间为(8.53±1.97)min，对照组的抢救介入时间为(37.52±3.64)min，观察组明显小于对照组，具有统计学意义，P<0.05；(2)观察组的抢救成功率、窒息率、MODS率分别为96.67%、6.67%、6.67%；对照组的抢救成功率、窒息率、MODS率分别为66.67%、26.67%、20%，观察组均明显低于对照组，具有统计学意义，P<0.05。结论在腹外伤合并休克患者的急救中开展预见性护理，能够明显提高急救成功率，减少并发症的发生，保证护理质量。

Objective to explore the application value of nursing in emergency predict patients with abdominal trauma combined with shock.Methods:the emergency department of our hospital from January2016to December2016treated30cases of abdominal trauma and shock patients as the research object,using the parallel random sampling method will be divided into control group and observation group of15patients in the control group the routine care,the observation group on the basis of routine nursing to carry out nursing care,compared two groups of treatment intervention time and prognosis.Results:(1)the observation group intervention time for rescue(8.53±1.97)min control group,the intervention time for rescue(37.52±3.64)min,observation group significantly less than the control group,with statistical significance,P<0.05;(2)in observation group,the success rate of rescue,asphyxia,MODS rates were96.67%,6.67%,6.67%in control group;the success rate of rescue,asphyxia,MODS rates were66.67%,26.67%,20%,The observation group were significantly lower than the control group,with statistical significance,P<0.05Conclusion:to carry out nursing care in emergency patients with abdominal trauma complicated with shock,can significantly improve the rescue success rate,reduce complications,ensure the quality of nursing.