创伤性休克患者院前急诊治疗效果评估及研究.docVIP

创伤性休克患者院前急诊治疗效果评估及研究 　　[摘要] 目的 探究创伤性休克患者院前急诊治疗效果。方法 整群选择2014年8月―2015年8月该院急诊科收治的158例创伤性休克者为研究对象，依照是否实施院前抢救，分成常规组（家属自送）（70）和抢救组（88），分别为患者实施抢救，比较两组入院后术前准备和休克缓解时长，抢救成功率和治疗期间并发症发生率。结果 常规组患者术前准备时长为（18.65±2.58）min，抢救组为（10.23±2.36）min，常规组休克缓解时长为（3.21±0.54）h，抢救组为（2.36±0.52）h，组间数据差异有统计学意义（P0.05）。常规组患者抢救成功率为 81.43%，抢救组为 97.73%组间数据差异有统计学意义（P0.05）。抢救组患者出现并发症的概率明显比常规组低（P0.05）。结论 对于创伤性休克患者，院前抢救的每个环节都非常重要，该项工作的进行情况对于患者治疗预后和疾病转归均存在实际意义。值得推广使用。 　　[关键词] 创伤性休克；院前急诊；效果观察 　　[中图分类号] R4 [文献标识码] A [文章编号] 1674-0742（2016）04（c）-0011-03 　　[Abstract] Objective To discuss the effect of pre-hospital emergency treatment for patient with traumatic shock. Methods 158 cases of patients with traumatic shock admitted and treated in the department of emergency of our hospital from August 2014 to August 2015 were selected as the research objects and divided into the conventional group （the family sent patients by themselves） （70 cases） and the emergency group （88 cases） according to whether the pre-hospital emergency was implemented or not， and then both groups were respectively given emergency， and the preoperative preparation and shock remission duration， success rate of emergency and incidence rate of complications during treatment after admission of the two groups were compared. Results The differences in the preoperative preparation duration， shock remission duration and success rate of emergency between the conventional group and the emergency group had statistical significance， [（18.65±2.58）， （3.21±0.54）， 81.43% vs （10.23±2.36）， （2.36±0.52）， 97.73%]（P0.05）， and the probability of complications in the emergency group was obviously lower than that in the conventional group，（P0.05）. Conclusion For patients with traumatic shock， every link of pre-hospital emergency is very important， which is of practical significance to the treatment prognosis of patients and prognosis of diseases， and it is worth promotion and application. 　　[Key words] Traumatic shock； Pre-hospital emergency； Effect observa