摘要
目的 分析早期院前急诊护理在创伤性休克患者抢救中的效果。方法 取200创伤性休克患者参与研究，研究时限：2019年－2021年。按照入院时间将分为甲乙两组，各100例，分别给予不同的抢救措施，对比两组的抢救效果、抢救用时、并发症发生率、SOFA评分。结果 院前急救组的入院前死亡率、抢救无效死亡率低于院内急救组，抢救成功率高于院内急救组（χ2=4.714，P=0.030）（χ2=5.674，P=0.017）（χ2=11.054，P=0.001）。院前急救组急诊抢救用时、查体用时、急诊到手术室用时、有效救治时间明显短，SOFA评分明显低于院内急救组（t=11.120，P=0.001）（t=11.801，P=0.001）（t=10.684，P=0.001）（t=16.735，P=0.001）（t=7.190，P=0.001）。院前急救组的并发症发生率3例（3.00%）低于院内急救组11例（11.00%）（χ2=4.916，P=0.027）。结论 相比于传统的抢救护理措施，院前急救护理干预明显缩短了抢救时间，提高了抢救成功率，且患者治疗后的并发症也降低明显。
关键词： 急诊；创伤性休克；早期院前急诊护理
Abstract
Objective To analyze the effect of early prehospital emergency nursing in the rescue of traumatic shock patients. Methods A total of 200 traumatic shock patients were selected to participate in the study. The study period was from 2019 to 2021. According to the time of admission, they will be divided into two groups, A and B, with 100 cases in each group. They will be given different rescue measures, and the rescue effect, rescue time, complication rate and SOFA score of the two groups will be compared. Results The pre-hospital mortality rate and ineffective rescue mortality in the pre-hospital emergency group were lower than those in the in-hospital emergency group, and the rescue success rate was higher than that in the in-hospital emergency group (χ2=4.714, P=0.030) (χ2=5.674, P=0.017) (χ2 =11.054, P=0.001). The pre-hospital emergency group had significantly shorter emergency rescue time, physical examination time, emergency time to the operating room, and effective treatment time, and the SOFA score was significantly lower than that of the in-hospital emergency group (t=11.120, P=0.001) (t=11.801, P=0.001) (t=10.684, P=0.001) (t=16.735, P=0.001) (t=7.190, P=0.001). The complication rate in the pre-hospital emergency group was lower in 3 cases (3.00%) than in the in-hospital emergency group in 11 cases (11.00%) (χ2=4.916, P=0.027). Conclusion Compared with traditional rescue nursing measures, pre-hospital emergency nursing intervention significantly shortens the rescue time, improves the rescue success rate, and reduces the complications after treatment.
Key words： Emergency; Traumatic shock; Early prehospital emergency care
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