Wang Yan, Luo Siqi
The Nanhua Affiliated Hospital, Department of Operating Room, Hengyang Medical School, University of South China, Hengyang 421001, Hunan, China.
Emerg Med Int. 2022 Oct 11;2022:2055925. doi: 10.1155/2022/2055925. eCollection 2022.
To explore the construction of standard fast medical procedures for traumatic shock and its application effects.
84 patients with traumatic shock were admitted to emergency department of the hospital between January 2018 and January 2020. Using random number table method, the patients were divided into the control group (was given emergency treatment by routine emergency rescue procedures) and the study group (was given emergency treatment by standard fast medical procedures) with 42 patients in each group. The treatment time (rescue time, consultation time in each department, and examination time), shock index (SI), blood pressure fluctuation range, urine output, serum lactate (LAC) level, activated partial thromboplastin time (APTT), and international normalized ratio (INR) were recorded. The incidences of complications in the two groups within 3 days were counted.
The rescue time, consultation time, and examination time of the study group were shorter than those of the control group ( < 0.05). After 18 h of treatment, the SI, blood pressure fluctuation range, LAC, and APTT in the study group were lower or shorter than those in the control group ( < 0.05), while urine volume and INR were higher than those in the control group ( < 0.05). Within 3 days of treatment, the incidence of complications in the study group was 5.41% lower than that in the control group which was 24.14% ( < 0.05).
Standard fast medical procedures can effectively shorten the time of each stage of emergency treatment for traumatic shock, which allows patients to receive effective treatment in the shortest time while improving shock symptoms and reducing related complications.
探讨创伤性休克标准快速医疗程序的构建及其应用效果。
选取2018年1月至2020年1月期间在我院急诊科收治的84例创伤性休克患者。采用随机数字表法将患者分为对照组(采用常规急救程序进行急救)和研究组(采用标准快速医疗程序进行急救),每组42例。记录治疗时间(抢救时间、各科室会诊时间及检查时间)、休克指数(SI)、血压波动范围、尿量、血清乳酸(LAC)水平、活化部分凝血活酶时间(APTT)及国际标准化比值(INR)。统计两组3天内并发症的发生率。
研究组的抢救时间、会诊时间及检查时间均短于对照组(P<0.05)。治疗18小时后,研究组的SI、血压波动范围、LAC及APTT均低于对照组(P<0.05),而尿量及INR高于对照组(P<0.05)。治疗3天内,研究组并发症发生率比对照组的24.14%低5.41%(P<0.05)。
标准快速医疗程序可有效缩短创伤性休克急救各阶段时间,使患者在最短时间内得到有效治疗,同时改善休克症状,减少相关并发症。