急救型院前急救模式对急诊重症多发伤患者救治结局的影响

Influence of First Aid Type Prehospital Emergency Mode on the Outcome of Emergency Treatment for Severe Multiple Injuries

目的:观察急救型院前急救模式对急诊重症多发伤患者救治结局的影响。方法:选取2021年5月—2023年4月东台市人民医院120急救中心急诊外科收治的重症多发外伤患者103例为研究对象,采用随机数字表法分为对照组(n=51)与观察组(n=53)。对照组采用传统型院前急救模式救治,观察组采用急救型院前急救模式救治。比较两组急诊等待时间、住院时间、重症监护室(ICU)入住率、住院前病死率、住院时病死率、并发症发生率、救治后6个月致残率。结果:观察组急诊等待时间、住院时间短于对照组,差异有统计学意义(P<0.001)。观察组ICU入住率低于对照组,差异有统计学意义(P=0.029)。观察组住院前病亡率低于对照组,差异有统计学意义(P=0.031);两组住院时病亡率比较,差异无统计学意义(P>0.05)。观察组并发症总发生率低于对照组,差异有统计学意义(P=0.022)。救治后6个月,观察组致残率低于对照组,差异有统计学意义(P=0.017)。结论:急救型院前急救模式可改善急诊重症多发伤患者的救治结局,缩短急诊等待时间、住院时间,降低ICU入住率、住院前病亡率、并发症总发生率及致残率。

Objective:To observe the effect of first aid type prehospital emergency mode on the treatment outcome of emergency patients with severe multiple injuries.Methods:A total of 103 patients with severe multiple injuries were selected as the study objects at the emergency surgery Department of the 120 Emergency Center of Dongtai People's Hospital from May 2021 to April 2023,and were divided into control group(n=51)and observation group(n=53)by random number table method.The control group was treated with traditional prehospital emergency mode,and the observation group was treated with first aid type prehospital emergency mode.The emergency waiting time,hospital stay,ICU occupancy rate,prehospital mortality,in-hospital mortality,complication rate and disability rate at 6 months after treatment were compared between the two groups.Results:The waiting time and hospital stay in the observation group were shorter than those in the control group,the difference was statistically significant(P<0.001).The ICU occupancy rate of observation group was lower than that of control group,and the difference was statistically significant(P=0.029).The death rate before hospitalization in the observation group was lower than that in the control group,and the difference was statistically significant(P=0.031).There was no significant difference in mortality rate between the two groups(P>0.05).The incidence of complications in the observation group was lower than that in the control group,and the difference was statistically significant(P=0.022).After 6 months of treatment,the disability rate of observation group was lower than that of control group,and the difference was statistically significant(P=0.017).Conclusion:The first aid type prehospital emergency mode can improve the treatment outcome of emergency patients with severe multiple injuries,shorten the emergency waiting time and hospital stay,and reduce the ICU occupancy rate,prehospital death rate,total complication rate and disability rate.