创伤分级诊断方法在骨创伤急救治疗中应用效果.docVIP

创伤分级诊断方法在骨创伤急救治疗中应用效果 　　[摘要] 目的 观察骨创伤急救的方法与效果。 方法 选择2014年1月～2016年1月至我院进行骨创伤急诊治疗患者231例进行临床研究。根据来诊时间排序，序列号为单号患者作为观察组，共计116例，序列号为双号患者作为对照组，共计115例。对照组：根据患者病史、临床症状以及体征进行常规诊断和急救处理。观察组：采用创伤分级诊断方法进行急救诊断处理。观察两组患者确定诊断率、急救成功率、转运成功率以及死亡率，比较两组患者收入科室后或者进入ICU病房后2 h的死亡率。 结果 观察组患者的确定诊断率、急救成功率、转运成功率均明显高于对照组，且差异具有统计学意义（P0.05）；观察组患者转入病房或ICU后2 h死亡率和总死亡率分别为0.86%、5.17%，均明显低于对照组6.96%、14.78%，且差异具有统计学意义（P0.05）。 结论 对骨创伤急诊患者采用创伤分级诊断方法进行急救诊断和处理，能够明显提高急救的效率，增加急救的成功率，降低患者的死亡率，具有良好的临床应用前景。 　　[关键词] 骨创伤；急救；方法；分级诊断 　　[中图分类号] R459.7 [文献标识码] B [文章编号] 1673-9701（2017）17-0070-03 　　[Abstract] Objective To observe the method and effect of bone trauma first aid. Methods A total of 231 patients with bone traumatic emergency treatment in our hospital from January 2014 to January 2016 were enrolled. According to the timing of the visit， the patients with single number of serial number were chosen as the observation group（n=116）， and the patients with double number of serial number were treated as control group（n=115）. The control group was given routine diagnosis and first aid treatment according to the patient history， clinical symptoms and signs. The observation group was given emergency diagnosis by use of trauma grading diagnostic method. The confirmed diagnosis rate， emergency success rate， transport success rate and mortality of the two groups were observed. The mortality rate between the two groups was compared within 2 h after admission to department or the ICU ward. Results The confirmed diagnosis rate， emergency success rate， transport success rate were significantly higher in the observation group than those in the control group， and the difference was significant（P0.05）. The mortality rate within 2 h after admission to department or the ICU ward and the total mortality rate in the observation group was 0.86% and 5.17%， respectively， significantly lower than those in the control group（6.96% and 14.78%， respectively）， and there was significant difference（P0.05）. Conclusion The trauma grading diag