| 赵静磊,周菊,夏莹,黄维佳,陈晓婷,刘芳.损伤控制外科结合一体化护理模式在严重交通多发伤急救中的应用[J].上海护理,2024,24(S1): |
| 损伤控制外科结合一体化护理模式在严重交通多发伤急救中的应用 |
| Effects of damage control surgery combined with integrated nursing model in emergency treatment of severe traffic multiple injuries |
| DOI： |
| 中文关键词: 创伤 损伤控制外科 护理模式 多发伤 抢救成功率 |
| 英文关键词:Trauma Damage control surgery Nursing mode Multiple injuries Success rate of rescue |
| 基金项目:浦东新区高峰高原学科（PWYgf2021-03）；上海市周围神经显微外科重点实验室（20DZ2270200），卫健委手功能重建重点实验室 |
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| 中文摘要: |
| 目的 探讨损伤控制外科结合一体化护理模式在严重交通多发伤急救中应用的效果。方法 将2009年6月至2013年6月时未应用损伤控制外科结合一体化护理模式的患者作为对照组，将2013年6月—2022年6月应用损伤控制外科结合一体化护理模式的患者作为实验组，观察患者的出诊时间（患者发病到接受治疗）、急救时间（患者进入急诊室到抢救完成）、住院时间、急救成功率，急性生理与慢性健康评分（APACHE Ⅱ）、汉 密 尔 顿 焦 虑 量 表（HAMA）、汉密顿抑郁量表（HAMD）。结果 实验组和对照组基线资料差异均无显著性差异 （P>0.05）。 对照组88例患者中，抢救成功74例（成功率84.1%），死亡14例（死亡率15.9%）；实验组189例患者中，抢救成功180例（成功率95.2%），死亡9例（死亡率为4.8%）。两组具有显著性差异（p = 0.004）。除出诊时间外（p = 0.641），其余各个结局指标对比中两组对比均具有显著性差异（p < 0.05）。结论 损伤控制外科结合一体化护理模式在严重交通多发伤急救中的应用能够缩短严重交通多发伤患者的救治时间，预防术后并发症的发生，提高救治效果。 |
| 英文摘要: |
| Objective To investigate the effect of injury control surgery combined with integrated nursing mode in emergency treatment of severe traffic multiple injuries. Methods From June 2009 to June 2013, the patients who did not use the damage control surgery combined with the integrated nursing mode were selected as the control group, and from June 2013 to June 2022, the patients who used the damage control surgery combined with the integrated nursing mode were selected as the experimental group. The patients"" visiting time (patients"" onset to treatment), first aid time (patients entered the emergency room to rescue completion), hospital stay, first aid success rate, acute physiological and chronic health score (APACHEⅡ), Hamilton worry Scale (HAMA), and Hamilton Depression Scale (HAMD) were observed. Results There was no significant difference in baseline data between the experimental group and the control group (P>0.05). Of 88 patients in the control group, 74 were successfully rescued (success rate 84.1%), 14 died (mortality rate 15.9%); Of 189 patients in the experimental group, 180 were successfully rescued (95.2% success rate), and 9 died (4.8% mortality rate). There was significant difference between the two groups (p = 0.004). Except for the time of visit (p = 0.641), there were significant differences between the two groups in the comparison of other outcome indicators (p < 0.05). Conclusion The application of injury control surgery combined with integrated nursing mode in the first aid of severe traffic multiple injuries can shorten the treatment time, prevent the occurrence of postoperative complications and improve the treatment effect. |
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