孙萍 肖水军 王哲夫 房宇君

【摘要】目的：研究院前院内无缝隙急救护理配合创伤救治原则对老年严重多发伤救护的临床价值。方法：抽选我院收治的64例老年严重多发伤患者作为研究对象，按救治时间的不同将其分为对比组（2019年1月至2019年12月收治，采取创伤救治原则进行救护）和研究组（2020年1月至2020年8月收治，采取院前院内无缝隙急救护理配合创伤救治原则进行救护），每组32例。对比两组的院前救护时间、院内救护时间、现场转运至医院的时间、抢救成功率、死亡率、并发症发生率。结果：经救护，研究组的院前救护时间、院内救护时间、现场转运至医院的时间均短于对比组（P<0.05）；研究组的抢救成功率高于对比组（P<0.05）；研究组的死亡率、并发症发生率低于對比组，但结果相比差异不大（P>0.05）。结论：通过院前院内无缝隙急救护理与创伤救治原则的配合，能显著缩短院前、院内的抢救时间和转运时间，降低并发症风险，提高抢救成功率，减少死亡。

【关键词】院前院内无缝隙急救护理；创伤救治原则；老年；严重多发伤；抢救成功率；死亡率；并发症

[中图分类号]R473.6 [文献标识码]A [文章编号]2096-5249（2021）11-0106-03 A study on the value of the principle of seamless emergency care in the pre-hospital and trauma treatment in the rescue of serious multiple injuries in the elderly

SUN Ping1， XIAO Shui-jun2， WANG Zhe-fu3， FANG Yu-jun1（Department of Emergency， Dongguan Third Bureau Hospital， Dongguan Guangdong 523710， China； 2. The Third Department of Surgery， Dongguan Third Bureau Hospital， Dongguan Guangdong 523710， China； 3. Guangdong Medical University， Zhanjiang Guangdong 524023， China

[Abstract]Objective： To study the clinical value of seamless emergency care in the front hospital of the institute and the principle of trauma treatment in the rescue of serious multiple injuries in the elderly. Methods： 64 elderly patients with severe multiple injuries admitted to our hospital were selected as the research objects， and they were divided into comparison groups according to the different treatment time （from January 2019 to December 2019， the principle of trauma treatment was adopted for rescue） and The study group （adopted from January 2020 to August 2020， adopting seamless emergency care in the pre-hospital hospital and the principle of trauma treatment）， each group has 32 cases. The pre-hospital rescue time， in-hospital rescue time， on-site transfer to the hospital， rescue success rate， mortality rate， and complication rate were compared between the two groups. Results： After rescue， the study group’s pre-hospital care time， in-hospital care time， and on-site transfer to the hospital were all shorter than the comparison group （P<0.05）； the rescue success rate of the study group was higher than that of the control group （P<0.05）； The mortality and complication rates of the study group were lower than those of the comparison group， but the results were not significantly different （P>0.05）. Conclusion： Through the cooperation of the principles of seamless emergency care and trauma treatment in the pre-hospital and hospital， the rescue time and transfer time before and in the hospital can be significantly shortened， the risk of complications， the success rate of rescue and the reduction of deaths can be reduced.

[Key words] Pre-hospital and in-hospital emergency care； Principles of trauma treatment； Old age； Severe multiple injuries； Success rate of rescue； Mortality； Complications

老年严重多发伤的临床表现较为复杂，病情发展快速，且容易出现严重并发症，致残率与病死率极高。因外力作用下容易造成患者两个或以上脏器严重损伤，失血量大，若得不到及时救治，可直接危及其生命[1]。在抢救老年严重多发伤患者时，正确的病情评估加有效的护理则是抢救成功的重要关键点。……