CAJ | 학술논문

目的：探讨修正创伤评分（revised trauma score， RTS）在多发伤患者急救中的应用效果。方法根据患者收治的时间，将56例多发伤患者设为对照组，58例多发伤患者设为观察组，对照组采用传统的院前及院内急救护理，观察组根据RTS情况实施院前及院内一体化急救护理。比较两组患者有效救治时间和并发症发生率的差异。结果观察组患者有效救治时间较对照组短；并发症发生率低于对照组，两组比较，差异均有统计学意义（P＜0．001，P＜0．05）。结论基于RTS评分为基础的一体化急救措施，可使护士既可在短时间内做出准确的病情判断，并根据病情提供连续的无缝隙护理，缩短患者有效救治时间，降低并发症的发生，从而提高抢救的成功率。
목적：탐토수정창상평분（revised trauma score， RTS）재다발상환자급구중적응용효과。방법근거환자수치적시간，장56례다발상환자설위대조조，58례다발상환자설위관찰조，대조조채용전통적원전급원내급구호리，관찰조근거RTS정황실시원전급원내일체화급구호리。비교량조환자유효구치시간화병발증발생솔적차이。결과관찰조환자유효구치시간교대조조단；병발증발생솔저우대조조，량조비교，차이균유통계학의의（P＜0．001，P＜0．05）。결론기우RTS평분위기출적일체화급구조시，가사호사기가재단시간내주출준학적병정판단，병근거병정제공련속적무봉극호리，축단환자유효구치시간，강저병발증적발생，종이제고창구적성공솔。
Objective To study the effect of revised trauma score (RTS) in the rescue of patients with multiple trauma emergency application. Methods According to the admission time, 56 multiple trauma patients were assigned into the control group, and another 58 into the observation group. The control group was treated with traditional pre-hospital and hospital emergency care. The observation group with pre-hospital emergency care and hospital based on the RTS results. The two groups were compared in terms of effective treatment time and complications. Result The effective rescue time of the observation group was significantly shorter than that of the control group (P<0.001) and the complication rate was significantly lower than that of the control group (P<0.05). Conclusion Based on the integrated emergency rescue measures on the basis of RTS scores, accurate condition judgment can be made in a short time so that consistent care can be given to the patients and the success rate can be improved , and the occurrence of complications can be reduced and the rescue success rate can be increased.