黑龙江医学
黑龍江醫學
흑룡강의학
HEILONGJIANG MEDICAL JOURNAL
2015年
4期
373-375
,共3页
急诊流程化%颅脑损伤%控制%躁动
急診流程化%顱腦損傷%控製%躁動
급진류정화%로뇌손상%공제%조동
Emergency routing process%Craniocerebral injury%Control%Agitation
目的：探讨急诊流程化处理对控制颅脑损伤患者躁动的影响。方法选取2012－07～2013－12间我院确诊治疗的98例急诊颅脑损伤躁动患者，依据随机分配原则将其分为流程组和对照组，所有患者均给予常规格拉斯哥昏迷评分法（ GCS ）评分和Riker镇静、躁动评分（ SAS），给予对照组患者常规处理，给予流程组患者急诊流程化处理并对合适指征患者给予静脉输注曲马多0.3 mg／kg／h联合咪达唑仑0.03 mg／kg／h治疗，统计分析所有患者处理前后躁动分级、急救反应、躁动控制时间、躁动控制效果、SAS评分、撤药后清醒时间和并发症发生情况，应用Pearson分析法分析急救反应时间与躁动控制情况的相关性。结果处理后，流程组患者躁动控制率明显高于对照组，差异有统计学意义（ P＜0.05）；流程组患者急救反应时间、躁动控制时间、撤药后清醒时间、并发症发生率明显低于对照组，前者SAS评分明显低于后者，差异有统计学意义（ P＜0.05）；Pearson分析法结果显示，急救反应时间与躁动控制时间呈正相关（r1＝6.723，P1＜0.001），与SAS评分呈负相关（r2＝0.468，P2＝0.003）。结论急诊流程化处理可有效缩短急救时间和提高颅脑损伤患者躁动控制效果，有利于提高对患者的救治效果，值得临床作进一步推广。
目的：探討急診流程化處理對控製顱腦損傷患者躁動的影響。方法選取2012－07～2013－12間我院確診治療的98例急診顱腦損傷躁動患者，依據隨機分配原則將其分為流程組和對照組，所有患者均給予常規格拉斯哥昏迷評分法（ GCS ）評分和Riker鎮靜、躁動評分（ SAS），給予對照組患者常規處理，給予流程組患者急診流程化處理併對閤適指徵患者給予靜脈輸註麯馬多0.3 mg／kg／h聯閤咪達唑崙0.03 mg／kg／h治療，統計分析所有患者處理前後躁動分級、急救反應、躁動控製時間、躁動控製效果、SAS評分、撤藥後清醒時間和併髮癥髮生情況，應用Pearson分析法分析急救反應時間與躁動控製情況的相關性。結果處理後，流程組患者躁動控製率明顯高于對照組，差異有統計學意義（ P＜0.05）；流程組患者急救反應時間、躁動控製時間、撤藥後清醒時間、併髮癥髮生率明顯低于對照組，前者SAS評分明顯低于後者，差異有統計學意義（ P＜0.05）；Pearson分析法結果顯示，急救反應時間與躁動控製時間呈正相關（r1＝6.723，P1＜0.001），與SAS評分呈負相關（r2＝0.468，P2＝0.003）。結論急診流程化處理可有效縮短急救時間和提高顱腦損傷患者躁動控製效果，有利于提高對患者的救治效果，值得臨床作進一步推廣。
목적：탐토급진류정화처리대공제로뇌손상환자조동적영향。방법선취2012－07～2013－12간아원학진치료적98례급진로뇌손상조동환자，의거수궤분배원칙장기분위류정조화대조조，소유환자균급여상규격랍사가혼미평분법（ GCS ）평분화Riker진정、조동평분（ SAS），급여대조조환자상규처리，급여류정조환자급진류정화처리병대합괄지정환자급여정맥수주곡마다0.3 mg／kg／h연합미체서륜0.03 mg／kg／h치료，통계분석소유환자처리전후조동분급、급구반응、조동공제시간、조동공제효과、SAS평분、철약후청성시간화병발증발생정황，응용Pearson분석법분석급구반응시간여조동공제정황적상관성。결과처리후，류정조환자조동공제솔명현고우대조조，차이유통계학의의（ P＜0.05）；류정조환자급구반응시간、조동공제시간、철약후청성시간、병발증발생솔명현저우대조조，전자SAS평분명현저우후자，차이유통계학의의（ P＜0.05）；Pearson분석법결과현시，급구반응시간여조동공제시간정정상관（r1＝6.723，P1＜0.001），여SAS평분정부상관（r2＝0.468，P2＝0.003）。결론급진류정화처리가유효축단급구시간화제고로뇌손상환자조동공제효과，유리우제고대환자적구치효과，치득림상작진일보추엄。
Objective To discuss effect of emergency routing process on the control of the influence of agitation in patients with cranio -cerebral injury .Methods 98 patients with craniocerebral injury were selected in the hospital .According to the random distribution , all pa-tients were divided into process group and control group , all patients were evaluated by Glasgow Coma Scale ( GCS) and Sedation-Agita-tion Scale ( SAS) .The control group were given conventional treatment .The process group were given emergency routing process , and pa-tients with appropriate indications were given intravenous tramadol 0.3 mg/(kg/h) combined with midazolam 0.03 mg/(kg/h) treatment. Agitation, Agitation, control effect, awakeness time, complications after withdrawal , the correlation of emergency reaction time and Agita-tion control cases of all patients was used by Pearson analysis method .Results After processing , stir control rate in process group was obviously higher than control group (P<0.05);Emergency response time, active control time, waking hours after withdrawal and compli-cation rates in the process group was lower than that in the control group , and the former SAS scores was lower than the latter (P<0.05);Pearson analysis results showed that the emergency response time and agitation control was positively correlated (r1=6.723, P1<0.001), and was negatively correlated with SAS score (r2=0.468, P2=0.468).Conclusion Emergency routing process can effectively shorten the first-aid time and improve the effect of agitation in patients with craniocerebral injury control to improve the treatment effect of patients . So it is worth further clinical promotion .
