主动脉夹层多学科合作模式专病急救绿色通道的建设研究

Research on Construction of Emergency Green Channel for Special Disease in Multidisciplinary Team of Aortic Dissection

目的:探讨主动脉夹层多学科合作模式(MDT)专病急救绿色通道的建设方式与效果。方法:选取2019年2月-2020年12月汕头市第二人民医院收治的80例主动脉夹层患者作为研究对象,以随机数表法分为两组,各40例。对照组接受常规急救模式,试验组接受MDT专病急救绿色通道模式,对患者干预前后的血氧饱和度(SaO_(2))、收缩压(SBP)、舒张压(DBP)、脉搏(P)、脉压(PP)水平,住院时间、确诊时间、急诊科停留时间及转运时间进行比较。结果:干预前,两组SaO_(2)、SBP、DBP、P及PP水平比较,差异均无统计学意义(P>0.05);干预后,试验组SaO_(2)水平高于对照组,SBP、DBP、P及PP水平低于对照组,差异有统计学意义(P<0.05)。试验组住院时间、确诊时间、急诊科停留时间及转运时间均短于对照组,差异有统计学意义(P<0.05)。结论:MDT专病急救绿色通道干预模式对主动脉夹层患者的应用效果较好,不仅能够降低患者SBP、DBP、P及PP水平,同时能够缩短住院时间、确诊时间、急诊科停留时间及转运时间,可作为首选的护理模式。

Objective:To explore the construction mode and effect of emergency green channel for special disease in aortic dissection multidisciplinary team(MDT).Methods:A total of 80 patients with aortic dissection admitted to the Second People's Hospital of Shantou from February 2019 to December 2020 were selected as the study subjects,and they were divided into two groups by random number table method,with 40 cases in each group.The control group received the routine emergency mode,and the experimental group received the MDT emergency green channel mode for special disease.The blood oxygen saturation(SaO_(2)),systolic blood pressure(SBP),diastolic blood pressure(DBP),pulse(P),pulse pressure(PP)levels before and after intervention,hospitalization time,diagnosis time,emergency stay time and transfer time were compared.Results:Before the intervention,there was no significant difference in the levels of SaO_(2),SBP,DBP,P and PP between the two groups(P>0.05).After the intervention,the SaO_(2) level in the experimental group was higher than that in the control group,and the levels of SBP,DBP,P and PP were lower than those in the control group,and the differences were statistically significant(P<0.05).The hospitalization time,diagnosis time,emergency stay time and transfer time in the experimental group were all shorter than those in the control group,and the differences were statistically significant(P<0.05).Conclusion:The MDT emergency green channel intervention mode for special disease has a better application effect on patients with aortic dissection.It can not only reduce the levels of SBP,DBP,P and PP,but also shorten the hospitalization time,diagnosis time,emergency stay time and transfer time,it can serve as the preferred mode of care.