CAJ | 학술논문

目的：探讨综合创伤急救模式对严重胸腹外伤患者救治效果的影响。方法选取2013年1月～2014年12月我科收治的68例严重胸腹外伤患者为研究对象，根据综合创伤急救模式开展时间分为传统救治组（2013年1月～12月）32例和综合创伤急救模式组（2014年1月～12月）36例。比较两组救治成功率、并发症发生率、急诊抢救时间、病情初步确诊时间、手术时间、平均住院时间、患者满意度评分、序贯器官衰竭估计（SOFA ）、急性生理学与慢性健康状况评分（A‐PACHE II）、创伤严重度评分（ISS）、格拉斯哥昏迷评分（GCS）。结果综合创伤急救模式组救治成功率高于传统救治组（P＜0．05），致残率、休克发生率、多器官功能衰竭综合征（MODS）、急性呼吸窘迫综合征（ARDS）发生率显著低于传统救治组（P＜0．05）。综合创伤急救模式组急诊抢救时间、病情初步确诊时间、手术时间、平均住院时间短于传统救治组，患者满意度评分高于传统救治组（P＜0．05）。综合创伤急救模式组治疗后SOFA评分、APACHE II评分、ISS评分显著低于传统救治组，GCS评分高于对照组（P＜0．05）。结论综合创伤急救模式能有效提高严重胸腹外伤患者救治成功率，降低并发症发生率，促进患者预后，提高患者及医生满意率。
목적：탐토종합창상급구모식대엄중흉복외상환자구치효과적영향。방법선취2013년1월～2014년12월아과수치적68례엄중흉복외상환자위연구대상，근거종합창상급구모식개전시간분위전통구치조（2013년1월～12월）32례화종합창상급구모식조（2014년1월～12월）36례。비교량조구치성공솔、병발증발생솔、급진창구시간、병정초보학진시간、수술시간、평균주원시간、환자만의도평분、서관기관쇠갈고계（SOFA ）、급성생이학여만성건강상황평분（A‐PACHE II）、창상엄중도평분（ISS）、격랍사가혼미평분（GCS）。결과종합창상급구모식조구치성공솔고우전통구치조（P＜0．05），치잔솔、휴극발생솔、다기관공능쇠갈종합정（MODS）、급성호흡군박종합정（ARDS）발생솔현저저우전통구치조（P＜0．05）。종합창상급구모식조급진창구시간、병정초보학진시간、수술시간、평균주원시간단우전통구치조，환자만의도평분고우전통구치조（P＜0．05）。종합창상급구모식조치료후SOFA평분、APACHE II평분、ISS평분현저저우전통구치조，GCS평분고우대조조（P＜0．05）。결론종합창상급구모식능유효제고엄중흉복외상환자구치성공솔，강저병발증발생솔，촉진환자예후，제고환자급의생만의솔。
Objective To investigate the impact of comprehensive emergency trauma of treatment effect pattern of severe abdominaltraumapatients.Methods 68casesofsevereabdominaltraumapatientsweredevicedintotraditionaltreatment groups (January 2013 to 2013 December ,n) and comprehensive trauma care model group (January 2014-December 2014 ,n) accord to comprehensive trauma care model from January 2013 to December 2014 .The treatment success rate ,complication rate ,emergency rescue time ,the condition preliminary diagnosis time ,surgical treatment time ,the average length of stay , patient satisfaction score ,SOFA score ,APACHE II score ,ISS score ,GCS score of two groups were compared .Results The treatment success rate of comprehensive trauma care model group were higher than traditional treatment groups (P<0 .05) .The morbidity ,incidence of shock ,multiple organ dysfunction syndrome (MODS) ,acute respiratory distress syndrome (ARDS) of comprehensive trauma care model group were lower than traditional treatment groups (P <0 .05) .The ntegrated trauma emergency rescue mode set time ,the condition preliminary diagnosis time ,surgical treatment time ,the av‐erage length of stay is shorter than the conventional treatment group ,patient satisfaction scores of comprehensive trauma care model group were shorter than traditional treatment groups (P <0 .05) .The levels of SOFA score ,APACHE II score , ISS scores of observation group were significantly lower than traditional treatment groups(P <0 .05) .Conclusion Compre‐hensive trauma model can effectively improve the success rate of treatment of serious chest trauma patients ,reduce patient complications and improve patient outcomes ,increase patient and physician satisfaction .