目的 探讨"零通道"急救模式对提高重度颅脑损伤患者救治效果的作用.方法 选取 2020 年 1 月至 2021 年 12月嘉兴市第二医院收治的 147 例重度颅脑损伤患者为研究对象,将 2020 年 1 月至 12 月以传统急救模式入院抢救的 62例患者纳入对照组,2021 年 1 月至 12 月以"零通道"急救模式入院抢救的 85 例患者纳入观察组.比较两组患者的开始抢救时间、完成CT检查时间、完成输血时间、手术时间、临床预后和并发症发生率.结果 观察组患者的开始抢救时间、完成CT检查时间、完成输血时间、手术时间均显著短于对照组(P<0.05).观察组患者的恢复良好占比显著高于对照组(68.2%vs.38.7%,χ2=12.671,P<0.001).观察组患者的并发症发生率显著低于对照组(21.18%vs.80.65%,χ2=51.000,P<0.001).结论 "零通道"急救模式可有效缩短重度颅脑损伤患者的救治时间,提高抢救成功率,降低并发症发生率,值得临床使用推广.
Objective To investigate the effect of"zero channel"emergency mode on the treatment of patients with severe traumatic brain injury.Methods A total of 147 patients with severe traumatic brain injury admitted to the Second Hospital of Jiaxing from January 2020 to December 2021 were selected as study objects.Sixty-two patients hospitalized in traditional emergency mode from January to December 2020 were included in control group,and 85 patients hospitalized in"zero channel"emergency mode from January to December 2021 were included in observation group.The initiation time of rescue,completion time of CT examination,completion time of blood transfusion,duration of operation,clinical prognosis and complication rate were compared between two groups.Results The initiation time of rescue,completion time of CT examination,completion time of blood transfusion,and duration of operation in observation group were significantly shorter than those in control group(P<0.05).The proportion of good recovery in observation group was significantly higher than that in control group(68.20%vs.38.70%,χ2=12.671,P<0.001).The complication rate of observation group was significantly lower than that of control group(21.18%vs.80.65%,χ2=51.000,P<0.001).Conclusion"Zero channel"emergency mode can effectively shorten the treatment time of patients with severe traumatic brain injury,improve the success rate of rescue,reduce the incidence of complications,worthy of clinical use and promotion.
余丽萍;吴建祥;陈伟;阮丽萍;郑叶平
嘉兴市第二医院急诊科,浙江嘉兴 314000
临床医学
零通道;重度颅脑损伤;救治效果
Zero channel;Severe traumatic brain injury;Rescue efficacy
《中国现代医生》 2024 (001)
11-14 / 4
浙江省卫生健康科技计划项目(2021KY356)
10.3969/j.issn.1673-9701.2024.01.003
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