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基于急诊创伤外科一体化模式在创伤救治中的临床分析 被引量:2

Clinical analysis of trauma treatment based on integrated emergency trauma-surgery working model
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摘要 目的探讨急诊创伤外科一体化模式在创伤救治中的应用效果。方法分析2020年7月至12月期间桂林医学院附属医院急诊创伤外科采用急诊创伤外科一体化模式救治的42例创伤患者(研究组),并与同期桂林市某三甲医院急诊科采用会诊分科模式救治的42例创伤患者(对照组)的临床资料进行比较。统计分析两组的入院-病房时间、病房-手术室时间、总住院时间、并发症发生率及病死率。结果研究组的入院-病房时间、病房-手术室时间、总住院时间均短于对照组,并发症发生率、病死率均低于对照组,差异有统计学意义(P<0.05)。结论对于创伤患者的救治,采取急诊创伤外科一体化模式能有效缩短患者的入院-病房时间、病房-手术室时间、总住院时间,同时降低并发症发生率和病死率,具有较高的应用价值。 Objective To explore the effect of integrated emergency trauma-surgery working model in the treatment of trauma.Methods 42 trauma patients(study group)treated by integrated emergency trauma-surgery working model in the Department of Emergency Trauma Surgery of Affiliated Hospital of Guilin Medical University from July to December 2020 were analyzed,and they were compared with the clinical data of 42 trauma patients(control group)treated by consultation and division mode in the emergency department of a national comprehensive three A-level hospital in Guilin during the same period.And then,admission-ward time,ward-operating room time,total length of stay,the incidence of complications and mortality of the two groups were statistically analyzed.Results The admission-ward time,ward-operating room time and total length of stay in the study group was all shorter than that in the control group,and the incidence rate of complications and mortality were lower than those in the control group,and difference was statistically significant(P<0.05).Conclusion For patients with trauma,integrated emergency trauma-surgery working model can not only effectively shorten admission-ward time,ward-operating room time and total length of stay,but also reduce the incidence of complications and mortality,which has high application value.
作者 张磊 蒋延明 李韬 李强 林起庆 ZHANG Lei;JIANG Yanming;LI Tao;LI Qiang;LIN Qiqing(Department of Emergency Trauma Surgery,Affiliated Hospital of Guilin Medical University,Guilin 541001,Guangxi,China;Department of Emergency,The Second People’s Hospital of Guilin,Guilin 541001,Guangxi,China;Department of Emergency,Affiliated Hospital of Youjiang Medical University for Nationalities,Baise 533000,Guangxi,China)
出处 《右江医学》 2022年第6期439-442,共4页 Chinese Youjiang Medical Journal
基金 广西卫生和计划生育委员会自筹经费科研课题(Z20170828)。
关键词 急诊创伤外科 一体化模式 创伤救治 emergency trauma surgery integrated mode treatment of trauma
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