创伤性休克患者院前急诊治疗及应用意义分析.docVIP

精品论文 参考文献 创伤性休克患者院前急诊治疗及应用意义分析 （四川省达州市中心医院 四川 达州 635000） 　　【摘要】目的：总结分析创伤性休克患者元钱急诊治疗的方法及其应用意义。方法：本研究中纳入我院急诊科在时间段2014年12月～2015年12月区间院前急诊患者共100例作为观察对象，按照入院编号奇偶性方法进行分组，分别将50例患者纳入对照组、观察组中。对照组患者院前急诊治疗中实施常规治疗方法，观察组患者院前急诊治疗中在对照组基础之上联合应用骨髓腔穿刺输液技术进行干预。对比两组患者在院前急诊治疗干预前、后各项生命体征以及急诊治疗4h内抢救效果的差异。结果：院前急诊治疗干预前，对照组、观察组患者心率、动脉压、血氧饱和度检测值经对比未见明显差异（P＞0.05），不具有统计学意义；院前急诊治疗干预后，观察组患者心率平均为（101.2plusmn;5.3）次/min，低于对照组（P＜0.05），动脉压平均为（35.1plusmn;1.2）、血氧饱和度平均为（96.1plusmn;1.5）％，均高于对照组（P＜0.05）。对院前急诊治疗4h内抢救效果进行对比：观察组抢救总有效率为98.00％（49/50），对照组抢救总有效率为84.00％（42/50），观察组显著高于对照组（P＜0.05）。结论：创伤性休克患者院前急诊治疗中通过应用骨髓腔穿刺输液技术的方式，可有效稳定患者各项生命体征，提高抢救效果，值得临床推广。 　　【关键词】创伤性休克；院前急诊；骨髓腔穿刺输液技术；生命体征；抢救效果 　　【中图分类号】R459.7 【文献标识码】A 【文章编号】2095-1752（2016）28-0066-02 　　【Abstract】Objective To analyze patients with traumatic shock yuan emergency treatment method and its application significance. Methods This study included in our hospital emergency department in the period of December 2014 to December 2014, a total of 100 patients with interval pre-hospital emergency as research object, according to the admission number parity method to group, respectively in 50 cases in control group and observation group. Control group patients with pre-hospital emergency treatment implementation of conventional treatment, the observation group of patients in pre-hospital emergency treatment in the control group based on the combined use of marrow cavity puncture infusion technology to intervene. Compared to two groups of patients in pre-hospital emergency treatment intervention before and after the vital signs as well as emergency treatment within 4 h rescue effect difference. Results The pre-hospital emergency treatment before intervention, control group and observation group of patients with heart rate, arterial pressure, blood oxygen saturation values by contrast did not see obvious difference (Pgt;0.05), not statistically significant; Pre-hospital emergency treatment after the intervention, the observa