洪岩

【摘要】 目的：研究與观察创伤协调模式对严重创伤患者院前急救效率及效果的影响。方法：选取2019年2月-2020年7月本院收治的100例严重创伤患者为研究对象，将其根据救治方式的不同分为对照组和观察组，每组50例。对照组进行常规干预，观察组则以创伤协调模式为指导进行干预。比较两组临床救治效果、院前急救工作质量、急救反应时间、院前急救时间、并发症发生情况、家属对救治模式各方面的满意度。结果：观察组的临床救治效果显著优于对照组，差异有统计学意义（P<0.05）。观察组的院前急救工作质量优良率显著高于对照组，差异有统计学意义（P<0.05）。观察组的急救反应时间及院前急救时间均显著优于对照组，差异均有统计学意义（P<0.05）。观察组并发症发生率显著低于对照组，差异有统计学意义（P<0.05）。观察组家属对救治模式急救效率、急救效果、服务态度的满意度均显著高于对照组，差异均有统计学意义（P<0.05）。结论：创伤协调模式对严重创伤患者院前急救效率及效果的影响更好，在严重创伤患者院前急救中的应用价值相对更高。

【关键词】 创伤协调模式 严重创伤 院前急救 急救效率 急救效果

Study on the Influence of Trauma Coordination Model for Prehospital First Aid Efficiency and Effect of Patients with Severe Trauma/HONG Yan. //Medical Innovation of China， 2021， 18（33）： -108

[Abstract] Objective： To study and observe the influence of trauma coordination model for prehospital first aid efficiency and effect of patients with severe trauma. Method： A total of 100 severe trauma patients admitted to our hospital from February 2019 to July 2020 were selected as the research objects， they were divided into control group and observation group according to different treatment methods， 50 cases in each group. The control group received routine intervention， while the observation group was guided by trauma coordination model. The clinical treatment effect， the quality of prehospital first aid work， the first aid reaction time， prehospital first aid time， the occurrence of complications and the satisfaction of family members on the treatment mode were compared between the two groups. Result： The clinical treatment effect of the observation group was significantly better than that of the control group， the difference was statistically significant （P<0.05）. The excellent rate of prehospital first aid work quality in the observation group was significantly higher than that in the control group， the difference was statistically significant （P<0.05）. The first aid reaction time and prehospital first aid time of the observation group were significantly better than those of the control group， the differences were statistically significant （P<0.05）. The complication rate in the observation group was significantly lower than that in the control group， the difference was statistically significant （P<0.05）. The satisfaction of family members of the observation group with first aid efficiency， first aid effect and service attitude were significantly higher than those of the control group， the differences were statistically significant （P<0.05）. Conclusion： Trauma coordination model has a better effect on the efficiency and effect of prehospital first aid treatment for severe trauma patients， and has a higher application value in the prehospital first aid treatment for severe trauma patients.

[Key words] Trauma coordination model Severe trauma Prehospital first aid First aid efficiency First aid effect

First-author’s address： Benxi Central Hospital， Benxi 117000， China

doi：10.3969/j.issn.1674-4985.2021.33.026

严重创伤患者的临床救治效果受多方面因素影响，而院前急救作为早期救治阶段，其在严重创伤患者预后中的作用极为重要。临床中与严重创伤患者院前急救相关的研究众多，研究普遍显示，不同的干预模式在救治效率与救治效果方面存在一定差异，因此在干预模式的选取方面应给予充分的正视[1-2]。……