陈炳星

[摘要] 目的 分析院前三維急救模式对急诊危重症患者抢救效果及预后的影响效果。 方法 研究观察方便选取的该院收治的70例急诊危重症患者，患者在2018年6月—2019年7月期间收治，按照入院的先后顺序分组，一组采取常规抢救流程，一组给与院前三维急救模式，分别作为对照组和实验组，每组35例患者，比较两组患者的急救抢救效果。结果 实验组患者急救应诊反应时间为（10.3±2.4）min，抢救时间为（15.7±3.8）min，护送检查时间为（8.4±1.2）min，其数据较对照组更低，差异有统计学意义（t=7.378、3.092、7.035，P<0.05）;实验组患者致残率为5.71%（2例），并发症发生率为5.71%（2例），其数据较对照组低，差异有统计学意义（χ2=4.200、4.519，P<0.05）;实验组患者家属对抢救过程的满意度为94.29%（33例），其中非常满意17例，满意16例，其数据较对照组高，差异有统计学意义（P<0.05），患者未见死亡，病死亡率较对照组低，差异有统计学意义（P<0.05）。结论 院前三维急救模式可显著降低急诊危重症患者抢救的时间消耗，并有效提升抢救质量，减少致残率和并发症，改善患者预后，值得使用。

[关键词] 院前三维急救模式;急诊危重症;抢救效果;预后效果

[Abstract] Objective To analyze the effect of pre-hospital three-dimensional first-aid model on the rescue effect and prognosis of critically ill patients in emergency department. Methods A total of 70 emergency critical patients in the hospital were studied and observed. The patients were convenient scelection admitted between June 2018 and July 2019. They were grouped according to the order of admission， one group adopted the routine rescue procedure， and one group gave pre-hospital 3D first aid. The model was used as the control group and the experimental group， with 35 patients in each group， and the rescue effect of the two groups of patients was compared. Results The response time of emergency treatment in the experimental group was （10.3±2.4）min， the rescue time was （15.7±3.8）min， and the escort examination time was （8.4±1.2）min. The data was lower than the control group， and the difference was statistically significant（t=7.378， 3.092， 7.035，P<0.05）; the disability rate of patients in the experimental group was 5.71%（2 cases）， and the incidence of complications was 5.71% （2 cases）. The data was lower than the control group， and the difference was statistically significant（χ2=4.200， 4.519，P<0.05）; the satisfaction of the family members of the experimental group on the rescue process was 94.29% （33 cases）， of which 17 were very satisfied and 16 were satisfied. The data was higher than the control group， the difference was statistically significant（P<0.05）， no death was seen in the patients， and the mortality was lower than that in the control group， and the difference was statistically significant （P<0.05）. Conclusion The pre-hospital three-dimensional rescue mode can significantly reduce the time spent in the rescue of critically ill patients， effectively improve the quality of rescue， reduce the disability rate and complications， and improve the prognosis of patients. It is worth using.

[Key words] Pre-hospital three-dimensional emergency mode; Critically ill in emergency; Rescue effect; Prognostic effect

急诊危重症患者普遍具有病情危急、病程发展快、致残率和致死率高的特点，此类患者一般通过急诊通道收治，并且需要迅速地展开治疗[1]。对于此类患者而言，时间关乎于生命，因此，长期以来，急诊科都致力于如何改善急诊抢救流程，为患者赢得更多的时间。院前三维急救模式是近几年临床中比较常用的急诊抢救流程，该模式能够对急救工作中时间维度等多项内容进行改进和完善，从而有效缩短时间损耗，同时给予患者最为准确的抢救治疗，有效减少病死率和致残率。该模式也在实际应用中展现出了良好的效果[2]。该文研究的主要内容就是院前三维急救模式对急诊危重症患者抢救效果及预后的影响效果，并方便选取了2018年6月—2019年7月期间该院收治的的70例急诊危重症患者进行观察，现报道如下。

1  资料与方法

1.1  一般资料

研究观察方便选取该院收治的的70例急诊危重症患者，按照入院的先后顺序分组，一组采取常规抢救流程，一组给予院前三维急救模式，分别作为对照组和实验组，每组有患者35例。……