摘要
Abstract
Objective To study the effect of optimization of first aid procedure on the rescue and treatment of prehospital patients with hemorrhagic shock caused by abdominal organ injury. Methods Patients with hemorrhagic shock caused by abdominal organ injury from a people’s hospital of Bazhong city were selected as research subjects. 34 cases of patients who had used the traditional first aid procedure were selected as the control group, 34 cases of patients who had used optimized first aid procedure were selected as the experimental group. By analyzing the clinical data and treatment situation of patients, and the arrival time, time from injury to the operation, postoperative blood loss, treatment success rate, discharge survival rate, disability rate were compared between the two groups. SPSS 19.0 was applied for the statistic analysis. Results (1)The radii of visits [(16.32±3.46) vs(15.46±2.21) km] and time of arrival [(0.32±0.09) vs( 0.23±0.15) h] in observation group have no significant difference compared with control group; time from being injured to accepting operation [(0.74±0.13) vs(0.90±0.24) h] and postoperative blood loss [(1846.56±122.50) vs (2035.30±359.73) ml] of observation group were significantly lower than those of the control group, and the differences were statistically significant (t=2.656,P=0.017;t=-2.086, P=0.015). (2)Rescue success rate of the control group was 70.59% (24/34), and that of observation group was 94.12% (32/34). Discharge survival rate of the control group was 66.66% (16/24), and that of the observation group was 87.50% (28/32). There were significant differences in rescue success rate and discharge survival rate between two groups (χ 2=5.64, P=0.035; χ 2=2.05, P=0.028).(3)Disability rate of the control group was 43.75% (7/16), and that of observation group was 10.71% (3/28), therefore there was a significant difference in disability rate between two groups (P=0.022). Conclusions Optimization of first aid procedure can improve the success rate and survival rate of patients discharged from hospital, reduce disability rate, exerting a positive effect on prehospital patients with hemorrhagic shock.关键词
腹腔/破裂/失血性休克Key words
abdominal cavity/rupture/hemorrhagic shock分类
医药卫生
