CAJ | 학술논문

目的探讨现代网络院前急救模式对重型颅脑损伤患者预后的影响.方法将院前重型颅脑外伤患者分成两组；现代网络院前急救模式(A组,162例)由经过专业培训的急救队伍组成,能够进行基础、高级生命支持,配备先进急救设备和现代交通工具等,利用现代网络连接快捷的特点,在深圳市急救中心调度下开展院前现场急救工作；传统模式组(B组,124例)患者自行到达医院,无医务人员现场抢救及陪同.统计调度时间、到达时间、现场时间、返回时间、总时间,同时对受伤类型、颅内损伤程度、格拉斯哥预后分级( GOS)进行统计学分析.结果 A组和B组的受伤类型、颅内损伤程度差异无显著性(P＞0.05).A组预后伤残程度评级:良好72.22％,中残19.14％,重残1.85％,植物状态0.62％,死亡6.17％;B组预后伤残程度评级:良好47.58％,中残24.19％,重残12.10％,植物状态2.23％,死亡14.51％;A组预后优于B组,差异有显著性(P＜0.05).结论现代网络院前急救模式能提升重型颅脑损伤急救速度,降低死亡率和改善预后.
목적 탐토현대망락원전급구모식대중형로뇌손상환자예후적영향.방법 장원전중형로뇌외상환자분성량조；현대망락원전급구모식(A조,162례)유경과전업배훈적급구대오조성,능구진행기출、고급생명지지,배비선진급구설비화현대교통공구등,이용현대망락련접쾌첩적특점,재심수시급구중심조도하개전원전현장급구공작；전통모식조(B조,124례)환자자행도체의원,무의무인원현장창구급배동.통계조도시간、도체시간、현장시간、반회시간、총시간,동시대수상류형、로내손상정도、격랍사가예후분급( GOS)진행통계학분석.결과 A조화B조적수상류형、로내손상정도차이무현저성(P＞0.05).A조예후상잔정도평급:량호72.22％,중잔19.14％,중잔1.85％,식물상태0.62％,사망6.17％;B조예후상잔정도평급:량호47.58％,중잔24.19％,중잔12.10％,식물상태2.23％,사망14.51％;A조예후우우B조,차이유현저성(P＜0.05).결론 현대망락원전급구모식능제승중형로뇌손상급구속도,강저사망솔화개선예후.
Objective To explore the influence of modern network pre-hospital emergency care mode on the prognosis of the patients with severe brain trauma.Methods Divided the patients with severe brain trauma into 2 groups:modern network pre-hospital emergency care mode group( A group,162 cases ),which had a professional rescue team that equipped with advanced first-aid equipment and had modern transportation and modem fast network,carried pre-hospital emergency rescue work out under the management of the Shenzhen City Emergency Center; Patients in traditional mode group ( B group,124 cases ) went to hospital with no health care and no companionship of medical worker.Then recorded the scheduling time,running time,rescue time,returning time,and total time; statistically analyzed the traumatic type,traumatic degree,and Glasgow Outcome Scale( GOS ) in both groups.Results There were no significant differences in traumatic type and traumatic degree between this both groups.The GOS outcomes of group A:Ⅴ 72.22％,Ⅳ 19.14％,Ⅲ 1.85％,Ⅱ 0.62％,Ⅰ 6.17％; that was significantly better than group B's ( Ⅴ 47.58％,Ⅳ 24.19％,Ⅲ 12.10％,Ⅱ 2.23％,Ⅰ 14.51％;P ＜ 0.05 ).Conclusions Modem network pre-hospital emergency care mode can speed up the rescue of patients with severe brain trauma,lower mortality,and improve prognosis.