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目的:观察对创伤性休克患者进行院前急诊治疗的临床效果及意义。方法:收集2013年6月至2016年3月东莞黄江医院收治的创伤性休克患者130例,按患者是否进行了院前急诊治疗分组,对照组60例患者家属送至医院仅入院后行常规急诊治疗,观察组70例患者为实施院前急诊治疗,比较两组患者抢救效果。结果:观察组急诊抢救治疗成功率97.14%明显高于对照组85.00%,差异具有统计学意义(P<0.01);观察组术前准备时间(10.29±2.40)min、休克缓解时间(2.40±0.49)h均明显短于对照组,差异具有统计学意义(P<0.01);观察组急诊抢救治疗过程中并发症率2.86%明显低于对照组15.00%,差异具有统计学意义(P<0.01)。结论:针对创伤性休克患者实施院前急诊抢救治疗,可明显提升患者的急诊抢救治疗成功率,缩短术前准备时间与休克缓解时间,降低急诊治疗过程中并发症率。
Objective: To observe the clinical effect and significance of prehospital emergency treatment in patients with traumatic shock. Methods: 130 cases of traumatic shock admitted to Huangjiang Hospital of Dongguan from June 2013 to March 2016 were collected. Patients were divided into groups according to their pre-hospital emergency treatment and 60 cases of control group were sent to the hospital for routine admission Emergency treatment, observation group of 70 patients for the implementation of prehospital emergency treatment, the two groups of patients were compared. Results: The success rate of emergency treatment in the observation group was 97.14%, which was significantly higher than that in the control group (85.00%), the difference was statistically significant (P <0.01). The observation group had a preoperative preparation time of 10.29 ± 2.40 min and a shock response time of 2.40 ± 0.49 ) h were significantly shorter than the control group, the difference was statistically significant (P <0.01); the complication rate in emergency treatment of observation group was significantly lower than that of control group (2.86% vs 15.00%, P <0.01) . Conclusion: The implementation of prehospital emergency rescue and treatment for patients with traumatic shock can significantly improve the emergency rescue and treatment success rate, shorten the preoperative preparation time and shock relief time, and reduce the complication rate during emergency treatment.