突发群体伤患者急救绿色通道运行中护理管理.docVIP

突发群体伤患者急救绿色通道运行中护理管理 　　doi：10.3969/j.issn.1007-614x.2014.22.99 　　摘要目的：探讨突发群体伤患者急救绿色通道运行中的护理管理措施。方法：2006年1月-2014年1月收治突发群体伤患者300例作为研究对象，其中建立急救绿色通道前患者145例为对照组，建立后急救绿色通道后患者155例为观察组，对两组急救情况进行比较。结果：观察组抢救成功率95.48%，死亡率4.52%；对照组抢救成功率88.28%，死亡率11.72%，两组比较差异有统计学意义（P0.05）。此外，观察组急诊室救治时间、特殊检查时间及入院至手术室时间明显短于对照组，差异有统计学意义（P0.05）。结论：突发群体伤患者抢救中运行急救绿色通道可争取抢救时间，提高抢救成功率，值得临床推广。 　　关键词突发群体伤；急救；绿色通道；护理管理 　　Nursing management of emergent group injury patients in emergency green channel operation 　　Luo Suqin，Chen Pinwei 　　The Affiliated Hospital of Putian College（Putian City，Fujian），351100 　　AbstractObjective：To explore the nursing management measures of emergent group injury patients in emergency green channel operation.Methods：300 cases of emergent group injury patients were selected from January 2006 to January 2014.They were as the research objects.145 cases before the establishment of emergency green channel were as the control group.155 cases after the establishment of emergency green channel were as the observation group.The emergency situations of two groups were compared.Results：The rescue success rate of the observation group was 95.48%，and the mortality rate was 4.52%.The rescue success rate of the control group was 88.28%，and the mortality rate was 11.72%.There was significant difference between two groups （P0.05）.In addition，the emergency room treatment time，special examination time and admission to the operating room time were shorter than those of the control group.The differences were statistically significant（P0.05）.Conclusion：The emergency green channel in the rescue of emergent group injury patients can win rescue time，and improve the success rate of rescue.It is worthy of the clinical promotion. 　　Key wordsEmergent group injury；Emergency；Green channel；Nursing management 　　突发群体伤主要是由大型交通事故、火灾、工矿坍塌、斗殴等引起，具有突发性、伤员多、伤情重及复杂、抢救时间急迫及难度大的特点，常多为多发性复合伤，若抢救不及时可能导致患者死亡[1]。为此，我院建立了一套快速便捷高效急救绿色通道及重大突发事件急救预案，并在临床实施过程中不断完善。从接听电话，快速出车，赶赴现场，实施救治及院内分诊急救、手术及入院等环节，制定出一套快捷高效的急救服务流程，各环节