急诊危机管理在灾难救援中对救治效果的影响研究

Research on the impact of emergency crisis management on treatment effect in disaster relief

目的研究急诊危机管理在灾难救援中对救治效果的影响。方法回顾性分析我院急诊科2018-01至2019-12灾难救援中收治的200例患者临床资料,依据采取的护理管理模式分为对照组与观察组,每组各100例,对照组采取常规灾难救援管理,观察组采取急诊危机管理,对两组生命体征指标(心率、呼吸频率、平均动脉压)、动脉血气指标(氧分压、氧饱和度、二氧化碳分压、氧合指数)进行对比。结果干预后观察组生命体征指标、动脉血气指标中二氧化碳分压较对照组更低[心率(次/min):93.50±3.50比97.00±3.00,呼吸频率(次/min):20.50±1.50比23.00±1.00,平均动脉压(mmHg):88.25±2.35比93.60±2.40,二氧化碳分压(mmHg):31.23±1.77比36.45±1.85]、动脉血气指标中氧分压、氧饱和度、氧合指数较对照组更高[氧分压(mmHg):94.50±1.34比88.20±1.20,氧饱和度(%):95.10±1.15比92.50±1.25,氧合指数(mmHg):452.81±20.19比433.27±20.23],差异有统计学意义(P<0.05)。结论在灾难救援中急诊危机管理有助于进一步提高救治效果,值得推广使用。

Objective To study the impact of emergency crisis management on treatment effect in disaster relief.Methods A retrospective analysis of the clinical data of 200 patients admitted to the emergency department of our hospital from January 2018 to December 2019 in disaster relief was carried out.According to different nursing management models adopted,the samples were divided into a control group and an observation group,with 100 cases each.The control group adopted routine disaster rescue management,while the observation group adopted emergency crisis management.The vital signs indicators(heart rate,respiratory rate,mean arterial pressure)and the arterial blood gas indexes(oxygen partial pressure,oxygen saturation,carbon dioxide partial pressure,oxygenation index)of the two groups were compared.Results The prognosis of the observation group was better than that of the control group.After the intervention,the carbon dioxide partial pressure and the arterial blood gas indexes of the observation group were lower than that of the control group[heart rate(beats/min):93.50±3.50 vs.97.00±3.00,respiratory rate(times/min):20.50±1.50 vs.23.00±1.00,mean arterial pressure(mmHg):88.25±2.35 vs 93.60±2.40,carbon dioxide partial pressure(mmHg):31.23±1.77 vs 36.45±1.85].The oxygen partial pressure,oxygen saturation and oxygenation index were higher than the control group[oxygen partial pressure(mmHg):94.50±1.34 vs.88.20±1.20,oxygen saturation(%):95.10±1.15 vs.92.50±1.25,oxygenation index(mmHg):452.81±20.19 vs.433.27±20.23],the difference is statistically significant(P<0.05).Conclusion The emergency crisis management in disaster rescue contributes to further improvement of the treatment effect,which worth rolling out at a wider spectrum..