集束化干预策略在创伤失血性休克患者输血准备中的应用

Application of the bundle of interventions in blood transfusion preparation for patients with traumatic hemorrhagic shock

目的探讨集束化干预策略在缩短急诊创伤失血性休克患者输血准备时间中的应用效果。方法选取创伤失血性休克患者51例为观察组,采取集束化干预策略;另外选取创伤失血性休克患者49例为对照组,采取常规备血、输血流程。比较两组患者输血准备时间及创伤性凝血病(TIC)的发生情况。结果观察组在下达医嘱时间、采血送检时间、血送达科室时间、复温至输血时间及累计时间上明显少于对照组,差异均有统计学意义(t分别=-11.81、-12.79、-6.83、-28.19、-27.32,P均<0.05),两组在患者TIC的纠正率上比较,差异有统计学意义(χ~2=5.38,P<0.05)。结论集束化干预策略可以缩短急诊创伤失血性休克患者输血准备时间,减少TIC并发症的发生,有助于提高患者的抢救成功率。

Objective To explore the effect of the bundle of interventions on shortening the time of transfusion preparation for patients with traumatic hemorrhagic shock. Methods A total of 51 patients with traumatic hemorrhagic shock were selected as observation group and received bundle of interventions.In addition,49 patients with traumatic hemorrhagic shock were selected as the control group and received routine procedures of blood preparation and blood transfusion.The blood transfusion preparation time and the trauma-induced coagulopathy(TIC)between the two groups were compared. Results The time of issuing the doctor’s advice,blood samples are taken for inspection,blood samples are sent to the department,blood rewarming to transfusion,and the cumulative time in the observation group were significantly shorter than those of the control group(t=-11.81,-12.79,-6.83,-28.19,-27.32,P<0.05).There was a statistical difference in the rate of TIC symptom improved between the two groups(χ^2=5.38,P<0.05). Conclusion The bundle of interventions can shorten the blood transfusion preparation time in patients with emergency traumatic hemorrhagic shock,reduce the occurrence of complications of traumatic coagulopathy,and improve the successful rate of rescuing patients.