论文部分内容阅读
目的:探讨急诊绿色通道对颅脑外伤抢救的意义。方法:对我院急诊科2003年1月至2013年12月期间收治的492例颅脑外伤患者进行前瞻性研究,随机分为研究组和对照组,比较两组急救反应时间、治疗效果预后、远期生存质量。结果:研究组的院前急救时间、急诊科抢救时间、辅助检查时间、受伤到手术时间都比对照组短(P<0.001);用格拉斯哥预后评分(GOS)评价治疗效果,研究组优于对照组(P<0.05);用Barthel指数评价远期生存质量,两组治疗前无差异,但治疗后有差异(P<0.05),研究组评分提升程度高于对照组。结论:颅脑外伤患者实施“急诊绿色通道”抢救,可缩短救治时间,提高抢救成功率,改善预后,提高生存质量,值得推广。
Objective: To explore the significance of emergency green channel in the rescue of craniocerebral trauma. Methods: A total of 492 cases of traumatic brain injury admitted to our emergency department between January 2003 and December 2013 were prospectively studied and randomly divided into study group and control group. The response time, the prognosis of treatment, Long-term quality of life. Results: Prehospital emergency time, emergency department rescue time, auxiliary examination time and injury to operation time in the study group were all shorter than those in the control group (P <0.001). The Gospel prognostic score (GOS) (P <0.05). The Barthel index was used to evaluate the long-term quality of life. There was no difference between the two groups before treatment, but there was difference after treatment (P <0.05). The score of the study group was higher than that of the control group. Conclusion: Patients with craniocerebral injury should be treated with “emergency green channel”, which can shorten the treatment time, improve the success rate of rescue, improve the prognosis and improve the quality of life.