基于休克指数评估的急诊急救护理对创伤性休克患者的救治效果及预后影响

The Effect of Emergency Nursing Based on Shock Index Evaluation on the Treatment and Prognosis of Patients with Traumatic Shock

目的分析基于休克指数评估的急诊急救护理对创伤性休克患者的救治效果及预后影响。方法选取泉州市光前医院2020年3月至2023年3月收治的98例创伤性休克患者,按数字随机分组法进行分组,其中对照组49例采用常规急诊急救护理,试验组49例采用基于休克指数评估的急诊急救护理。对比两组护理前后急性生理与慢性健康评分系统Ⅱ(APACHEⅡ)评分改善情况,对比两组分诊时间、苏醒时间、抢救时间、休克纠正时间、24 h尿量、24 h输液量、器官衰竭评分等指标。结果护理后试验组患者APACHEⅡ评分低于对照组(P<0.05)。试验组创伤性休克患者24 h尿量多于对照组,24 h输液量少于对照组,SOFA评分低于对照组(均P<0.05)。试验组患者分诊时间、苏醒时间、抢救时间、休克纠正时间均短于对照组(均P<0.05)。结论在创伤性休克患者救治期间采用基于休克指数评估的急诊急救护理具有较好的效果,能够缩短抢救时间,提高预后。

Objective To analyze the effect of emergency nursing based on shock index evaluation on the treatment and prognosis of patients with traumatic shock.Methods Ninety-eight cases of traumatic shock patients admitted to Quanzhou Guangqian Hospital from March 2020 to March 2023 were selected and grouped according to numerical randomisation,of which 49 cases in the control group were treated with conventional emergency emergency nursing care,and 49 cases in the experimental group were treated with emergency emergency nursing care based on the assessment of shock index.The improvement of acute physiology and chronic health evaluationⅡ(APACHEⅡ)score before and after the care of the two groups was compared,and the two groups were compared in terms of the time of diagnosis,the time of awakening,the time of resuscitation,the time of correction of shock,the 24 h urine volume,the 24 h infusion volume,and the organ failure score.Results The APACHEⅡscore of patients in the test group was lower than that of the control group after care(P<0.05).The 24 hours urine volume of traumatic shock patients in the test group was more than that of the control group,the 24 hours fluid infusion volume was less than that of the control group,and the SOFA score was lower than that of the control group(all P<0.05).The triage time,awakening time,resuscitation time,and shock correction time of patients in the test group were shorter than those in the control group(all P<0.05).Conclusions The use of emergency nursing based on shock index assessment during the treatment of traumatic shock patients has a good effect,shorten the rescue time,improve the prognosis.