急诊绿色通道诊疗体系在抢救重型颅脑损伤救治中的应用.docVIP

精品论文 参考文献 急诊绿色通道诊疗体系在抢救重型颅脑损伤救治中的应用 姜秀霞 江松华 王秀金 聊城市人民医院脑科医院急诊科 252000 【摘要】目的 探讨急诊绿色通道诊疗体系在重型颅脑损伤救治中的意义。方法 运用回顾性分析方法，将我院采用普通急诊模式救治的132例重型颅脑损伤病人作为对照组，采用急诊绿色通道诊疗体系救治重型颅脑损伤病人155例作为观察组，通过两组病人在急救管理模式上的比较，分析应用急诊绿色通道诊疗体系对重型颅脑创伤救治的优越性。对两组患者性别、年龄、来院方式、受伤部位、病程时间等资料进行比较，差异均无统计学意义（P＞0.05），两组具有可比性。结果 对照组患者存活98例，死亡34例（ 25.7%），观察组存活121例，死亡34例（ 21.9%）、（ P＜0.05）。对照组受伤到院前急救时间、急诊室停留时间及受伤到手术时间均长于观察组（P ＜0.05）。结论 对重型颅脑创伤病人尽快实施院前救护，快速经急诊绿色通道诊疗体系施行检查及手术治疗，为救治赢得宝贵时间，可降低病死率及致残率。 【关键词】重型颅脑创伤；院前急救；急诊绿色通道 Abstract:Objective：To investigate the value of the green channel of emergency treatment system on rescuing severe craniocerebral injury patients.Methods：Retrospective study was performed on 287 severe craniocerebral injury patients，All patients were divided into the group（observation group）with green channel of emergency treatment system（n=155）and the group（control group）without green channel of emergency treatment system（n=132）.There were no statistically significant difference（P gt; 0.05）in The two groups of patients with gender，age，the way to the hospital，the injured area，duration time.The emergency response time，treatment outcomes，quality of long-term survival were analyzed.Results：98 cases in the control group of patients survived，and 34 cases（25.7%）died，compareding 121 cases of the observation group survived，34 died（21.9%），（P lt;0 05）.Compared with the control group，the pre-hospital emergency time，emergency rescue time，auxiliary examination time，injury to operation time were significantly saved in the observation group（Plt;0.01，respectively）.Conclusion：The green channel of emergency treatment system for severe craniocerebral injury patients can shortens the treatment time，improve the success rate，prognosis and quality of long-term survival. Key words：severe traumatic brain injury；pre-hospital care；emergency green channel [中图分类号] R322.81 [文献标识码] A [文章编号]1672-5018（2016）01-067-02 随着社会经济的快速发展，颅脑损伤病人日益增多。虽然伴随经济及科技的发展，颅脑损伤的基础和临床防治应用研究取得了很大的进步，但重型颅脑损伤的死亡率和致残率仍居高不下，总死亡率一直保持在30％～50％［1