创伤急救规范化系统对严重创伤救治的影响

菅振; 敖荣广; 李得见; 张旭; 姜新华; 易诚青; 禹宝庆

doi:10.13201/j.issn.1009-5918.2021.12.013

创伤急救规范化系统对严重创伤救治的影响

- 上海市浦东医院复旦大学附属浦东医院骨科(上海, 201399)
基金项目:
国家自然科学基金项目(No:81971753)

上海市医学重点专科项目(No:ZK2019C01)

上海市浦东新区卫生系统重点学科群建设项目(No:PWZxq2017-11)

浦东新区卫生健康委员会临床高原学科建设(No:PWYgy2018-09)

上海领军人才项目资助(No:046)

详细信息

通讯作者: 禹宝庆,E-mail:doctorybq@163.com

中图分类号: R641

收稿日期: 2021-09-09

Clinical effectiveness of standardized trauma emergency system on the treatment of severe trauma

- Department of Orthopedics, Shanghai Pudong Hospital, Fudan University Pudong Medical Center, Shanghai, 201399, China

More Information

Corresponding author: YU Baoqing, E-mail: doctorybq@163.com

Received Date: 09 September 2021

摘要

摘要: 目的:比较早期急救的规范化治疗系统建立前后对严重创伤患者的救治效果。方法:选取2018年1月-2019年11月期间在上海市浦东医院采用规范化诊疗系统救治的75例严重创伤患者作为研究对象,并依据相似的年龄及受伤因素,在采用常规急救模式处理的严重创伤患者中按照1:1随机匹配75例患者进行对照研究。结果:早期急救的规范化治疗系统建立后开始急救时间为(3.5±1.2) min,对照组平均时间为(5.0±2.1) min,两组时间差异有统计学意义(P<0.05)。研究组急诊停留时间为(3.5±5.1) h,对照组为(20.1±7.8) h,对照组停留时间更长(P<0.05)。研究组辅助检查时间为(0.9±0.3) h,对照组为(1.3±0.4) h,研究组用时更短(P<0.05)。研究组漏诊率为1.3%(1/75)、病死率为8.0%(6/75),对照组漏诊率为4.0%(3/75)、病死率为16.0%(12/75),研究组漏诊率及病死率均较对照组低(P<0.05)。结论:建立早期急救的规范化治疗系统对于提高严重创伤患者的生存率起到了积极作用,该体系提高了急救效率,可降低患者伤情漏诊率。
- 创伤 /
- 急救 /
- 规范化 /
- 漏诊
Abstract: Objective:To compare the clinical effectiveness of treatment for severe trauma patients before and after the establishment of a standardized treatment system for early first aid.Methods:The severe trauma patients treated with standardized diagnosis and treatment system in Shanghai Pudong Hospital from January 2018 to November 2019 were included as the study group, and 75 patients were randomly matched as the control group according to 1:1 radio among the severe trauma patients treated with conventional emergency mode based on similar age and injury factors.Results:After the establishment of the standardized treatment system for early first aid, the time to start first aid was(3.5±1.2) min, and the average time in the control group was(5.0±2.1) min, and the difference between the two groups was statistically significant(P<0.05). The emergency stay time was(3.5±5.1) h in the study group and(20.1±7.8) h in the control group, which was longer(P<0.05). In addition, it took shorter time for the auxiliary examination with(0.9±0.3) h in the study group, while(1.3±0.4) h in the control group(P<0.05). The missed diagnosis rate in the study group was 1.3%(1/75) and the mortality rate was 8%(6/75), while in the control group, the missed diagnosis rate was 4.0%(3/75), and the mortality rate was 16%(12/75). The missed diagnosis rate and mortality rate in the study group were lower than those in the control group(P<0.05).Conclusion:The establishment of standardized treatment system for early first aid has played a positive role in improving the survival of the patients with severe trauma. This system has improved the efficiency of first aid and reduced the rate of missed diagnosis of injuries.
- trauma /
- emergency /
- standardized treatment /
- missed diagnosis

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