一体化急救模式在创伤性重度颅脑损伤患者中的救治效果分析

Analysis of the Treatment Effect of Integrated First Aid Mode in Patients with Severe Traumatic Craniocerebral Injury

目的 分析创伤性重度颅脑损伤患者应用一体化急救模式的救治效果。方法 选取2019年11月—2021年11月上海交通大学医学院附属苏州九龙医院收治的80例创伤性重度颅脑损伤患者为研究对象,用随机数表法将其分为对照组(n=40)和观察组(n=40),对照组接受常规急救,观察组接受一体化急救模式。比较两组患者救治时效、急救效果以及急救前后神经系统损害程度。结果 观察组会诊用时、辅助检查用时、急诊至手术开始时间分别为(14.54±2.25)、(21.21±6.21)、(24.21±5.21)min,短于对照组的(23.65±3.34)、(31.35±7.36)、(34.21±6.65)min,差异有统计学意义(t=14.306、6.659、7.486,P<0.05)。观察组抢救成功率达75.00%,高于对照组的45.00%,差异有统计学意义(χ^(2)=7.500,P<0.05);观察组病死率为12.50%,低于对照组的32.50%,差异有统计学意义(χ^(2)=4.588,P<0.05)。抢救后,观察组GCS评分为(9.89±1.78)分,高于对照组的(7.91±1.51)分,差异有统计学意义(t=5.364,P<0.05)。结论 一体化急救模式应用于创伤性重度颅脑损伤救治中,可提高抢救时效性、成功率及救治效果。

Objective To analyze the treatment effect of the integrated first-aid mode for patients with traumatic severe craniocerebral injury.Methods Selected 80 patients with severe traumatic brain injury admitted to Suzhou Jiulong Hospital affiliated to Shanghai Jiaotong University School of Medicine from November 2019 to November 2021 as the study subjects.They were divided into control group(n=40)and observation group(n=40)by random number table method.The control group received routine first aid,and the observation group received integrated first aid mode.The time of treatment,the effect of first aid and the degree of nervous system damage before and after the first aid were compared between the two groups.Results The time for consultation,auxiliary examination and emergency treatment to the start of surgery in the observation group were(14.54±2.25)min,(21.21±6.21)min and(24.21±5.21)min,respectively,which were shorter than those in the control group(23.65±3.34)min,(31.35±7.36)min and(34.21±6.65)min,and the difference was statistically significant(t=14.306,6.659,7.486,P<0.05).The success rate of rescue in the observation group was 75.00%,higher than 45.00%in the control group,and the difference was statistically significant(χ^(2)=7.500,P<0.05);the mortality rate in the observation group was 12.50%,which was lower than 32.50%in the control group, and the difference was statistically significant (χ^(2)=4.588, P<0.05). After rescue, the GCS score of the observation group was (9.89±1.78) points, higher than that of the control group (7.91±1.51) points, the difference was statistically significant (t=5.364, P<0.05). Conclusion The application of integrated first aid mode in the treatment of traumatic severe brain injury can improve the timeliness, success rate andtreatment effect of rescue.