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目的:研究高处坠落伤的伤情评估及急救护理措施。方法:将我院2014年5月-2016年5月收治的80例高处坠落伤患者随机分为对照组(传统拣伤分类法)及观察组(改良澳大利亚拣伤评分系统)各40例,均采取院前急救护理,比较两组应用效果。结果:观察组分拣准确率90%、抢救成功率95%、死亡率5%、致残率10%、患者或家属满意度92.5%,同期对照组分拣准确率80%、抢救成功率82.5%、死亡率17.5%、致残率25%、患者或家属满意度80%,组间差异有统计学意义(P<0.05);两组医生会诊时间、急诊治疗开始时间、转入专科治疗时间相比较,差异有统计学意义(P<0.05)。结论:采用改良澳大利亚拣伤评分系统对高处坠落伤进行伤情评估并实施院前急救护理对挽救患者生命安全具有重要意义,值得推广使用。
OBJECTIVE: To study the injury evaluation and emergency nursing measures of falling injury in height. Methods: A total of 80 cases of fall injuries from May 2014 to May 2016 in our hospital were randomly divided into control group (traditional classification) and observation group (modified Australian Sick Score System), 40 cases each. Pre-hospital emergency care were taken and the effects of the two groups were compared. Results: The accuracy rate of the selected components in the observation group was 90%, the rescue success rate was 95%, the mortality rate was 5%, the morbidity rate was 10%, the satisfaction degree of the patients or their relatives was 92.5%, the accuracy rate of the control group was 80% and the rescue success rate was 82.5 %, The mortality rate was 17.5%, the morbidity rate was 25%, and the satisfaction rate of the patients or their families was 80%. There was a significant difference between the two groups (P <0.05). The consultation time, emergency treatment start time and specialist treatment time The difference was statistically significant (P <0.05). CONCLUSIONS: It is of great significance to evaluate the injury of a falling injury at a height and to implement pre-hospital care to improve the life safety of the patient by using the improved Australian scoring system.