中国全科医学2018，Vol.21Issue(20)：2475-2478,4.DOI:10.3969/j.issn.1007-9572.2018.00.114
降阶梯思维在老年颅脑损伤患者急救中的应用效果研究
De-escalation Strategies for Emergency Treatment of Elderly Patients with Craniocerebral Injury
摘要
Abstract
Objective To explore the effect of de-escalation strategies for emergency treatment of elderly patients with craniocerebral injury.Methods The participants were 132 elderly patients with craniocerebral injury,including 67 enrolled from July 2015 to July 2016 treated by the conventional emergency treatment(conventional group),and 65 enrolled from August 2016 to August 2017 treated by emergency treatment with de-escalation strategies(research group).The emergency treatment duration,outcome(survival rate,mortality,status of recovery of the survivals,prevalence of developmental disabilities) and patient satisfaction with emergency treatment were compared between the two groups.Results Compared with the conventional group,the research group had much shorter emergency treatment duration(t=21.843,P<0.05),significantly higher survival rate(χ2=6.453,P<0.05),and notable lower case fatality rate(χ2=6.872,P<0.05),higher score of Glasgow coma scale(t=7.924, P<0.001),but substantially lower prevalence of severe developmental disabilities(χ2=8.786,P<0.05),and much higher level of patient satisfaction with emergency treatment(χ2=14.678,P<0.001).Conclusion De-escalation strategies used in the emergency treatment of elderly patients with craniocerebral injury can significantly shorten the emergency treatment duration, reduce the case fatality rate,improve the prognosis as well as the patient satisfaction with emergency treatment,so it is worthy of clinical promotion.关键词
颅脑损伤/老年人/急救/降阶梯思维/预后Key words
Craniocerebral trauma/Aged/First aid/De-escalation strategies/Prognosis分类
医药卫生引用本文复制引用
顾玉慧,陈小燕,石卉,张明香,周水鑫,姜慧,顾宇丹,徐希德..降阶梯思维在老年颅脑损伤患者急救中的应用效果研究[J].中国全科医学,2018,21(20):2475-2478,4.基金项目
南通市科技计划(MS22016020)——新型临床诊疗技术攻关 （MS22016020）
南通市科技项目(HS2012030)——社会事业科技创新与示范计划 （HS2012030）
南通大学附属医院科技项目(Tfh1510) （Tfh1510）
