CAJ | 학술논문

目的：研究对重型颅脑损伤患者实施院前急救与护理的救治效果。方法对本院105例重型颅脑损伤患者院前急救与护理的临床资料进行比较，观察组：由本院急诊中心出车院前急救重型颅脑损伤患者70例；对照组：由边远基层卫生院转入路途1h以上患者35例，比较两组患者的抢救成功率。结果观察组重型颅脑损伤患者70例，院前急救成功66例，死亡4例，抢救成功率为94.2%；对照组重型颅脑损伤患者35例，院前急救成功28例，死亡7例，抢救成功率为80%，两组患者的抢救成功率比较χ2=5.08 P<0.05差异有统计学意义。结论及时有效的院前急救与护理措施能够显著提高颅脑损伤患者的成活率，降低致残率和致死率，防止并发症发生，保证生存质量。
목적：연구대중형로뇌손상환자실시원전급구여호리적구치효과。방법대본원105례중형로뇌손상환자원전급구여호리적림상자료진행비교，관찰조：유본원급진중심출차원전급구중형로뇌손상환자70례；대조조：유변원기층위생원전입로도1h이상환자35례，비교량조환자적창구성공솔。결과관찰조중형로뇌손상환자70례，원전급구성공66례，사망4례，창구성공솔위94.2%；대조조중형로뇌손상환자35례，원전급구성공28례，사망7례，창구성공솔위80%，량조환자적창구성공솔비교χ2=5.08 P<0.05차이유통계학의의。결론급시유효적원전급구여호리조시능구현저제고로뇌손상환자적성활솔，강저치잔솔화치사솔，방지병발증발생，보증생존질량。
Objective To investigate nursing effect of the severe traumatic brain injury patients before emergency hospital . Methods We retrospectively analyzed the clinical data of severe head injury patients and 105 cases of pre-hospital emergency care process, the observation group:from the center of the bus in front of our hospital emergency hospital 70 cases of patients with severe head injury first aid;control group:the remote primary health centers 1h journey into more than 35 patients, the survival rate of patients were compared. Results Observation group 70 patients with severe head injury, 66 cases of successful pre-hospital care, four patients died, the survival rate was 94.2%;prior to the control group, 35 patients with severe traumatic brain injury, hospital emergency successful in 28 cases, 7 deaths, success rate was 80%in both groups of patients survival rate comparesχ2=5.08 P<0.05 significant difference. Conclusion Take timely and effective pre-hospital emergency care for patients with severe traumatic brain injury, can improve the survival rate of patients, reduce morbidity and mortality, reduce complications and improve quality of life.