早期预警评分结合创伤严重程度评分在多发性创伤患者院前急救护理中的效果研究

Effect Study of Early Warning Scores Combined with Trauma Severity Scores in Pre Hospital Emergency Nursing of Multiple Trauma Patients

目的探究早期预警评分结合创伤严重程度评分在多发性创伤患者院前急救护理中的效果。方法选取2021年5月-2023年4月本中心救治的60例多发性创伤患者为研究对象。按时间先后分组,以2021年5月-2022年4月为对照组,以2022年5月-2023年4月为观察组,每组各30例。对照组采用常规的院前急救护理,观察组采用早期预警联合创伤严重评分指导下的院前急救护理。比较两组救治时间、抢救有效率、残疾程度及转运途中并发症发生率和死亡率。结果观察组伤情评估时间、院前抢救实施时间、院内抢救时间均短于对照组,差异有统计学意义(P<0.05);观察组抢救有效率高于对照组,差异有统计学意义(χ^(2)=4.706,P=0.030);观察组轻度、中重度、植物状态的例数均小于对照组,差异有统计学意义(P<0.05);观察组转运途中并发症发生率低于对照组,差异有统计学意义(χ^(2)=5.104,P=0.024),观察组死亡率低于对照组,差异有统计学意义(χ^(2)=4.706,P=0.030)。结论对多发性创伤患者在院前急救护理中,采用早期预警评分结合创伤严重程度评分能有效地提高抢救效率,避免转运途中并发症和死亡的发生,还能显著的降低残疾程度。

Objective To explore effect of early warning scores combined with trauma severity scores in pre hospital emergency nursing of patients with multiple trauma.Methods The paper chose 60 patients with multiple trauma in our center from May 2021 to April 2023 as research subjects,those from May 2021 to April 2022 were included in control group,those from May 2022 to April 2023 in observation group,with 30 cases in each group.Control group was treated with routine pre hospital emergency nursing,observation group with pre hospital emergency nursing guided by early warning combined with trauma severity scores.Treatment time,rescue effect,degree of disability,incidence of complications during transportation and mortality rate was compared between two groups.Results Evaluation time,pre hospital rescue implementation time and in hospital rescue time of observation group was shorter than control group,difference was statistically significant(P>0.05).Effective rate of rescue in observation group was 96.67%,higher than 73.33%in control group,with statistically significant difference(χ^(2)=4.706,P=0.030).Number of cases of mild,moderate to severe and vegetative state in observation group was smaller than control group,with statistically significant difference(P>0.05).Incidence of complications during transportation in observation group was 6.67%,lower than 33.33%in control group,with statistically significant difference(χ^(2)=5.104,P=0.024).Mortality rate in observation group was 3.33%,lower than 26.67%in control group,with statistically significant difference(χ^(2)=4.706,P=0.030).Conclusion Combining early warning scores with trauma severity scores can effectively improve rescue efficiency,avoid complications and deaths during transportation and reduce disability significantly in pre hospital emergency care for multiple trauma patients.