危机管理联合多学科合作模式在多发性创伤急救中的应用效果分析

Analysis on Application Effect of Crisis Management Combined with Multidisciplinary Team Mode in Emergency Treatment of Multiple Trauma

目的:分析危机管理联合多学科合作(MDT)模式在多发性创伤急救中的应用价值。方法:选取2021年7月—2022年6月广西壮族自治区桂东人民医院收治的多发性创伤患者60例作为研究对象,随机分为对照组与观察组,各30例。对照组采用常规管理联合MDT模式进行急救,观察组采用危机管理联合MDT模式进行急救。比较两组急救效果。根据急救结果分为救治成功组和死亡组,采用Logistic回归模型分析影响急救结果的因素。结果:观察组急诊处理时间、专科医师到诊时间、初次检查时间均短于对照组,差异有统计学意义(P<0.001)。观察组抢救成功率高于对照组,差异有统计学意义(P=0.038)。观察组术后并发症总发生率低于对照组,差异有统计学意义(P=0.004)。救治成功组采用危机管理模式占比高于死亡组,急诊处理时间短于死亡组,差异有统计学意义(P<0.05);危机管理是多发性创伤患者救治成功的独立影响因素,差异有统计学意义(P=0.021)。结论:危机管理联合MDT模式可缩短多发性创伤院内救治各环节时间,提高抢救成功率,降低术后并发症发生率。

Objective:To analyze the application value of crisis management combined with multidisciplinary team(MDT)mode in emergency treatment of multiple trauma.Methods:A total of 60 patients with multiple trauma treated in Guidong People's Hospital of Guangxi Zhuang Autonomous Region from July 2021 to June 2022 were selected as the study subjects.They were randomly divided into control group and observation group,with 30 cases in each group.The control group used conventional management combined with MDT mode for emergency treatment,while the observation group used crisis management combined with MDT mode for emergency treatment.The emergency treatment effects were compared between two groups.According to the emergency treatment results,the patients were divided into the rescue success group and the death group.Logistic regression model was used to analyze the factors affecting the emergency treatment results.Results:The emergency treatment time,specialist arrival time and initial examination time in the observation group were shorter than those in the control group,and the difference was statistically significant(P<0.001).The rescue success rate in the observation group was higher than that in the control group,and the difference was statistically significant(P=0.038).The total incidence of postoperative complications in the observation group was lower than that in the control group,and the difference was statistically significant(P=0.004).The proportion of crisis management mode in the rescue success group was higher than that in the death group,and the emergency treatment time in the rescue success group was shorter than that in the death group,and the difference was statistically significant(P<0.05).Crisis management was an independent influencing factor for the rescue success of multiple trauma patients,and the difference was statistically significant(P=0.021).Conclusion:Crisis management combined with MDT mode can shorten the time of each link of hospital treatment for multiple trauma,increase the success rate of rescue,and reduce the incidence of postoperative complications.