“零通道”急救模式在重度颅脑损伤患者中的应用研究.docx

“零通道”急救模式在重度颅脑损伤患者中的应用研究

余丽萍吴建祥陈伟阮丽萍郑叶平

[关键词]?零通道；重度颅脑损伤；救治效果

[中图分类号]?R651.1??????[文献标识码]?A??????[DOI]?10.3969/j.issn.1673-9701.2024.01.003

Application?of?“zero?channel”?emergency?mode?in?patients?with?severe?traumatic?brain?injury

YU?Liping，?WU?Jianxiang，?CHEN?Wei，?RUAN?Liping，?ZHENG?Yeping

Department?of?Emergency，?the?Second?Hospital?of?Jiaxing，?Jiaxing?314000，?Zhejiang，?China

[Abstract]?Objective?To?investigate?the?effect?of?“zero?channel”?emergency?mode?on?the?treatment?of?patients?with?severe?traumatic?brain?injury.?Methods?A?total?of?147?patients?with?severe?traumatic?brain?injury?admitted?to?the?Second?Hospital?of?Jiaxing?from?January?2020?to?December?2021?were?selected?as?study?objects.?Sixty-two?patients?hospitalized?in?traditional?emergency?mode?from?January?to?December?2020?were?included?in?control?group，?and?85?patients?hospitalized?in?“zero?channel”?emergency?mode?from?January?to?December?2021?were?included?in?observation?group.?The?initiation?time?of?rescue，?completion?time?of?CT?examination，?completion?time?of?blood?transfusion，?duration?of?operation，?clinical?prognosis?and?complication?rate?were?compared?between?two?groups.?Results?The?initiation?time?of?rescue，?completion?time?of?CT?examination，?completion?time?of?blood?transfusion，?and?duration?of?operation?in?observation?group?were?significantly?shorter?than?those?in?control?group?（P0.05）.?The?proportion?of?good?recovery?in?observation?group?was?significantly?higher?than?that?in?control?group?（68.20%?vs.?38.70%，?χ2=12.671，?P0.001）.?The?complication?rate?of?observation?group?was?significantly?lower?than?that?of?control?group?（21.18%?vs.?80.65%，?χ2=51.000，?P0.001）.?Conclusion?“Zero?channel”?emergency?mode?can?effectively?shorten?the?treatment?time?of?patients?with?severe?traumatic?brain?injury，?improve?the?success?rate?of?rescue，?reduce?the?incidence?of?complications，?worthy?of?clinical?use?and?promotion.

[Key?words]?Zero?channel;?Severe?traumatic?brain?injury;?Rescue?efficacy

1??资料与方法

1.1??一般资料