“定位抢救”模式对严重多发伤患者生存状况、抢救时间的影响

Influence of "location-based rescue" mode on the living conditions and rescue time of patients with severe multiple injuries

目的分析“定位抢救”对急诊严重多发伤患者生存状况、抢救时间的影响。方法选取2018年1月至2019年12月期间湖北六七二中西医结合骨科医院急诊科进行抢救的严重多发伤患者70例,按照随机数字表法分为对照组和观察组,每组各35例。对照组采用传统抢救方式,观察组采用定位抢救模式,比较两组患者完成采集心电图、采集静脉血、开放静脉通路、动脉气血分析、呼吸支持、气道清理、心电图(ECG)监测、留置导尿管需要的时间及两组患者生存情况。结果观察组患者完成采集心电图时间为(2.66±0.87)min,显著短于对照组的(3.14±1.09)min,差异有统计学意义(P<0.05);两组患者完成采集静脉血、开放静脉通路、动脉气血分析、呼吸支持、气道清理、ECG监测、留置导尿管需要的时间比较,差异无统计学意义(P>0.05);观察组患者完成所有的护理项目的时间为(27.43±7.22)min,明显短于对照组的(36.17±7.82)min,差异有统计学意义(P<0.05);经抢救,观察组现存活人数(34例)与对照组(31例)比较,差异无统计学意义(P>0.05)。结论在急诊严重多发伤抢救中应用定位抢救模式,虽不能改善患者的生存状况,但可以有效地减少完成全部抢救护理项目的时间,减少抢救工作的盲目性,提高急救效率。

Objective To analyze the influence of"location-based rescue"on the living conditions and rescue time of patients with severe multiple injuries in emergency department.Methods A total of 70 patients with severe multiple injuries who were rescued by the Emergency Department of our Hubei 672 Orthopedic Hospital of Integrated Chinese and Western Medicine from January 2018 to December 2019 were randomly divided into the control group and the observation group,with 35 cases in each group.The control group was treated with the traditional rescue method,while the observation group was treated with the location-based rescue mode.The time needed to collect electrocardiogram,collect venous blood,open venous access,analyze arterial blood,support breathing,clear airway,monitor electrocardiogram(ECG),and indwelling catheter and the survival of patients were compared between the two groups.Results The time for ECG collection in the observation group was(2.66±0.87)min,which was significantly shorter than that in control group(3.14±1.09)min,and the difference was statistically significant(P<0.05).There were no significant differences in the time needed to collect venous blood,open venous access,analyze arterial blood,support breathing,clear airway,monitor ECG and indwelling catheter between the two groups(P>0.05).The time for patients in observation group to complete all nursing items was significantly shorter(27.43±7.22)min than that in control group(36.17±7.82)min,and the difference was statistically significant(P<0.05).After rescue,there was no significant difference between the observation group(34 cases)and the control group(31 cases)(P>0.05).Conclusion The application of location-based rescue mode in emergency treatment of severe multiple injuries cannot improve the production status of patients,but it can effectively reduce the time to complete all rescue nursing projects,educe the blindness of rescue work and improve the efficiency of first aid.