基于一体化链式的创伤急救模式在严重创伤骨折患者救治中的应用效果及其对心理状态及创伤预后的影响

Application effect of trauma first aid mode based on integrated chain in the treatment of patients with severe traumatic fracture and its impact on psychological status and trauma prognosis

目的:探讨基于一体化链式的创伤急救模式在严重创伤骨折患者救治中的应用效果及其对心理状态及创伤预后的影响。方法:选取2020年3月至2022年2月期间我院收治的102例严重创伤骨折患者作为研究对象,按照计算机分组法将其分为对照组和观察组,各51例。对照组采取常规急救模式,观察组采取基于一体化链式的创伤急救模式,观察两组急救情况、急救成功率、心理状态、创伤程度以及预后恢复。结果:观察组辅助检查、病情评估、基本生命支持抢救、急诊至手术室以及有效救治时间均短于对照组(P<0.05);观察组急救成功率高于对照组(P<0.05);观察组无焦虑、无抑郁人数均多于对照组(P<0.05);观察组创伤严重度评分(Injury Severity Score,ISS)评分低于对照组,循环-呼吸-腹部-运动-语言评分(Circulation Respiration Abdomen Motor Speech,CRAMS)高于对照组(P<0.05)。结论:对严重创伤骨折患者实施基于一体化链式的创伤急救模式,不仅能够缩短急救各流程时间,提高急救成功率,还可减轻患者创伤程度,改善其心理状态,以促进预后恢复。

Objective:To explore the application effect of the integrated chain trauma first aid mode in the treatment of severe traumatic fracture patients and its influence on the psychological state and trauma prognosis.Methods:A total of 102 patients with severe trauma fractures admitted to our hospital from March 2020 to February 2022 were divided into the control group and the observation group,with 51 cases in each group.The normal first aid mode was adopted in the control group and the integrated chain trauma first aid mode was adopted in the observation group.The first aid situation,first aid success rate,psychological state,trauma degree and prognosis of the two groups were observed.Results:The time of auxiliary examination,disease assessment,basic life support rescue,emergency to operating room and effective treatment in the observation group were shorter than those in the control group(P<0.05).The success rate of first aid in observation group was higher than that in control group(P<0.05).The degree of anxiety and depression in the observation group was lower than that in the control group(P<0.05).The Injury Severity Score(ISS)of observation group was lower than that of control group,and the circulation-respiration abdomen motor(CRAMS)were higher than those in control group(P<0.05).Conclusion:The integrated chain mode of trauma first aid for patients with severe traumatic fractures can not only shorten the time of the first aid process,improve the success rate of first aid,but also reduce the degree of trauma and improve the psychological state of patients,so as to promote the prognosis and recovery.