规范化院前创伤急救技能培训对院前急救创伤患者的影响研究

Influence of Standardized Pre-hospital Trauma First Aid Skills Training on Pre-hospital Trauma Patients

目的:探究规范化院前创伤急救技能培训对院前急救创伤患者的影响。方法:选取2021年1月—2022年12月南京医科大学康达学院附属涟水人民医院收治的182例院前急救创伤患者作为研究对象,按照治疗的不同将其分为对照组和观察组,每组各91例。对照组患者予以常规外伤急救,观察组患者予以规范化院前创伤急救技能。对比两组患者急救效率(从呼救到受到专业治疗时间、院前反应时间、心肺复苏时间、电除颤时间、紧急静脉通路时间)、预后情况及并发症发生情况。结果:观察组患者从呼救到受到专业治疗时间、院前反应时间、心肺复苏时间、电除颤时间、紧急静脉通路时间均短于对照组患者,差异均有统计学意义(t=18.431、35.619、8.912、25.110、4.196,P<0.001);观察组患者痊愈率高于对照组患者,观察组患者残疾率、死亡率低于对照组患者,差异有统计学意义(Z=4.059,P<0.05);观察组患者并发症总发生率低于对照组患者,差异有统计学意义(χ^(2)=3.991,P<0.05)。结论:规范化院前创伤急救技能培训能够缩短院前急救创伤患者从呼救到受到专业治疗时间、院前反应时间、心肺复苏时间、电除颤时间、紧急静脉通路时间,促进其痊愈,降低其并发症发生率。

Objective:To explore the influence of standardized pre-hospital trauma first aid skills training on pre-hospital trauma patients.Methods:A total of 182 pre-hospital trauma patients admitted to the hospital from January 2021 to December 2022 were selected as research objects,and they were divided into control group(routine trauma first aid)and observation group(standardized pre-hospital trauma first aid skills training)according to different treatments,with 91 cases in each group.The first aid efficiency(from call for help to professional treatment time,pre-hospital response time,cardiopulmonary resuscitation time,electrical defibrillation time,and emergency venous access time),prognosis and total complication rate of the two groups were compared.Results:The time from calling for help to receiving professional treatment,pre-hospital response time,cardiopulmonary resuscitation time,electrical defibrillation time and emergency venous access time in observation group were all shorter than those in control group,with statistically significant difference(t=18.431,35.619,8.912,25.110,4.196;P<0.05).The recovery rate of observation group was higher than that of control group,the disability rate and mortality rate of observation group were lower than that of control group,and the difference was statistically significant(Z=4.059,P<0.05).The total incidence of complications in observation group was lower than that in control group,and the difference was statistically significant(χ^(2)=3.991,P<0.05).Conclusion:The standardized training of pre-hospital trauma first aid skills can shorten the time from calling for help to receiving professional treatment,pre-hospital response time,cardiopulmonary resuscitation time,electrical defibrillation time,and emergency venous access time for pre-hospital trauma patients;promote the recovery of patients;and reduce the incidence of complications.