CAJ | 학술논문

目的：探讨院前急救全程优化护理在颅脑损伤患者急救中的应用价值。方法选择132例颅脑损伤患者为研究对象,按入院时间以2012年6~12月救治的62例患者为对照组,2013年1~7月救治的70例患者为干预组,对照组院前护理按常规实施,干预组则采用院前急救全程优化护理。结果干预组院前急救与转入急诊时GCS和APS评分均无显著差异(P>0.05),对照组院前急救与转入急诊时GCS和APS评分均有显著差异(P<0.05)。转入急诊时干预组GCS评分显著高于对照组,APS评分显著低于对照组(P<0.05)。两组住院治疗期间预后GOS评价有显著性差异,干预组预后显著优于对照组(P<0.05)。干预组急救反应时间、急诊反应时间、住院时间均显著少于对照组(P<0.05),死亡率显著低于对照组(P<0.05)。干预组患者及家属对院前护理的评价明显高于对照组(P<0.05)。结论院前急救实施全程优化护理可有效提高救治效率缩短患者获得救治时间,提高抢救质量,减低死亡率,缩短住院时间,改善患者预后。
목적：탐토원전급구전정우화호리재로뇌손상환자급구중적응용개치。방법선택132례로뇌손상환자위연구대상,안입원시간이2012년6~12월구치적62례환자위대조조,2013년1~7월구치적70례환자위간예조,대조조원전호리안상규실시,간예조칙채용원전급구전정우화호리。결과간예조원전급구여전입급진시GCS화APS평분균무현저차이(P>0.05),대조조원전급구여전입급진시GCS화APS평분균유현저차이(P<0.05)。전입급진시간예조GCS평분현저고우대조조,APS평분현저저우대조조(P<0.05)。량조주원치료기간예후GOS평개유현저성차이,간예조예후현저우우대조조(P<0.05)。간예조급구반응시간、급진반응시간、주원시간균현저소우대조조(P<0.05),사망솔현저저우대조조(P<0.05)。간예조환자급가속대원전호리적평개명현고우대조조(P<0.05)。결론원전급구실시전정우화호리가유효제고구치효솔축단환자획득구치시간,제고창구질량,감저사망솔,축단주원시간,개선환자예후。
Objective To explore the value of optimize the entire pre-hospital emergency care in patients with traumat-ic brain injury in emergency. Methods A total of 132 cases of traumatic brain injury patients were selected for the study, accorded to the time of admission, 62 patients treated from June to December in 2012 were selected as the con-trol group, 70 cases treated from January to July in 2013 were selected as the intervention group, the control group pre-hospital were cared by conventional implementation, while the intervention group to optimize the use of the entire pre-hospital emergency care. Results The intervention group with the pre-hospital emergency GCS and transferred to APS score had no significantly different (P>0.05), while the control group pre-hospital emergency and transferred to GCS and APS scores had significantly different (P<0.05). Transferred to the emergency room the intervention group with significantly higher GCS score, APS scores were significantly lower than the control group(P<0.05). During hospi-talization GOS evaluate prognosis groups had significant differences in the prognosis of the intervention group were sig-nificantly better than the control group (P<0.05). Emergency response time in the intervention group, emergency re-sponse time, hospitalization time were significantly less than the control group (P <0.05), mortality were significantly lower than the control group (P<0.05). Intervention group patients and their families in the evaluation of pre-hospital care were significantly higher (P<0.05). Conclusion The implementation of the full optimization of pre-hospital emer-gency care can effectively improve the efficiency of the treatment patients receive treatment to shorten the time and im-prove the quality of the rescue, to reduce mortality, shorter hospital stay, improved patient outcomes.