严重创伤失血性休克急诊护理与并发症预防.pdfVIP

中外医疗2016 NO09 ChinaForeignMedicalTreatment DOI：10.16662/j.cnki.1674-0742.2016.09.158 严重创伤失血性休克急诊护理与并发症预防 李素文，王小丽，张益香 南京市高淳人民医院急诊科，江苏南京 211300 [摘要] 目的研究并探讨严重创伤失血性休克患者的急诊护理措施及并发症预防措施。 方法 于2014年5月—2015 年6月，选取该院收治的 100例严重创伤失血性休克患者进行研究，采取数字抽签法进行分组，各50例。对照组施行 常规护理，观察组施行急救护理+并发症护理。对比两组患者的抢救效果和并发症发生率。结果观察组患者的抢救有 效时间为（44.72±18.36）min，明显短于对照组的（79.63±21.47）min（P0.05）；观察组患者的抢救成功率为92%，明显高 于对照组的74%（P0.05）；观察组患者的并发症发生率为8%，明显低于对照组的28%（P0.05）。 结论 给予严重创伤 失血性休克患者急救护理，并对相关并发症进行预防性干预，能够有效提高患者的抢救成功率，减少并发症的发生。 [关键词] 严重创伤；失血性休克；急诊；护理 [中图分类号] R605.97 [文献标识码]A [文章编号]1674-0742（2016）03（c）-0158-03 Emergency Nursing and Prevention of Complications in Severe Traumatic HemorrhagicShock LISu-wen,WANGXiao-li,ZHANGYi-xiang EmergencyDepartment,NanjingGaochunPeople’sHospital,Nanjing,JiangsuProvince,211300China [Abstract]Objective Tostudyandexploretheemergencynursingmeasuresandpreventioninterventionfortheincidence ofcomplicationsinpatientswithseveretraumatichemorrhagicshock. Methods 100patientswithseveretraumatichemor- rhagicshockadmittedfromMay2014toJune2015wereselectedforthestudy anddividedintothecontrolgroupandthe observationgroupwith50casesineachinaccordancewiththedigitaldrawingmethod.Thecontrolgroupweregiventhe conventionalnursing,andtheobservationgroupweregivenemergencynursingandnursingforcomplications.Therescueef- fectandincidenceofcomplicationswerecomparedbetweenthetwogroups. Results Theeffectiverescuetimewasmuch shorterintheobservationgroupthanthatinthecontrolgroup[(44.72±18.36)minvs(79.63±21.47)min](P0.05).Thesuc- cessrateofrescueintheobservationgroupwassignificantlyhigherthanthatinthecontrolgroup(92%vs74%)(P0.05). Theincidenceofcomplicationsintheobservationgroupwassignificantlylowerthanthatinthecontrolgroup (8%vs28%) (P0.05). Conclusion Forseveretraumatichemorrhagicshoc