急诊绿色通道在抢救急性重症颅脑外伤患者中的应用价值

Application value of emergency green channel in rescuing patients with acute severe craniocerebral trauma

目的探究急诊绿色通道在急性重症颅脑外伤患者抢救中的应用价值。方法选取2019年10月至2020年9月经本院急诊救治的136例急性重症颅脑外伤患者作为研究对象,按照就诊时间不同分为对照组(2019年10月至2020年3月)与观察组(2020年4—9月),各68例。对照组采用常规急诊救治流程,观察组采用急诊绿色通道救治流程,比较两组救治时间、抢救效果、神经功能、并发症发生情况及预后情况。结果观察组急诊科抢救时间、辅助检查时间、受伤至手术治疗时间均明显短于对照组,差异有统计学意义(P<0.05)。两组无死亡病例。抢救前,两组格拉斯哥昏迷指数(GCS)评分比较差异无统计学意义;抢救后,两组GCS评分均高于抢救前,且观察组高于对照组,差异有统计学意义(P<0.05)。抢救前,两组美国国立卫生研究院卒中量表(NIHSS)评分比较差异无统计学意义;抢救后,两组NIHSS评分均低于抢救前,且观察组低于对照组,差异有统计学意义(P<0.05)。观察组并发症发生率为4.41%,明显低于对照组的14.71%,差异有统计学意义(P<0.05)。抢救前,两组Barthel指数评分比较差异无统计学意义;出院3个月后,两组Barthel指数评分均高于抢救前,且观察组高于对照组,差异有统计学意义(P<0.05)。结论急诊绿色通道在急性重症颅脑外伤患者的临床抢救中具有显著的应用价值,可有效缩短患者救治时间,对改善患者抢救效果及预后情况具有重要意义。

Objective To explore the application value of emergency green channel in the rescuing patients with acute severe craniocerebral trauma.Methods 136 patients with acute severe craniocerebral trauma who underwent emergency treatment in our hospital from October 2019 to September 2020 were selected as the research subjects,and they were divided into the control group(October 2019 to March 2020)and the observation group(April to September 2020)according to different treatment times,with 68 cases in each group.The control group used conventional emergency treatment procedures,while the observation group used emergency green channel treatment procedures,the treatment time,rescue effect,neurological function,incidence of complications and prognosis were compared between the two groups.Results The emergency department rescue time,auxiliary examination time,and the time from injury to surgical treatment in the observation group were significantly shorter than those in the control group,and the differences were statistically significant(P<0.05).There were no deaths in two groups.Before rescue,there was no statistically significant difference in Glasgow coma scale(GCS)scores between the two groups;after rescue,the GCS scores of two groups were higher than before rescue,and the observation group was higher than the control group,and the difference was statistically significant(P<0.05).Before rescue,there was no statistically significant difference in the National Institute of Health stroke scale(NIHSS)scores between the two groups;after rescue,the NIHSS scores of two groups were lower than before rescue,and the observation group was lower than the control group,and the difference was statistically significant(P<0.05).The incidence of complications in the observation group was 4.41%,which was significantly lower than the 14.71%in the control group,and the difference was statistically significant(P<0.05).Before rescue,there was no statistically significant difference in Barthel index scores between the two groups;after 3 months of discharge,the Barthel index scores of two groups was higher than before rescue,and the observation group was higher than the control group,and the difference was statistically significant(P<0.05).Conclusion Emergency green channel has significant application value in the clinical rescue of patients with acute severe craniocerebral trauma,it can effectively shorten the treatment time of patients and is of great significance to improve the rescue effect and prognosis of patients.