规范ICU内严重多发伤救治流程的临床效果评价

摘要

Objective To explore the effect of standard procedure for treatment strategy of the patients with severe multiple in-jury in ICU.Methods We selected 92 patients with severe multiple injuries admitted in our hospital from May 2010 to February 2013 as control group and 108 patients with severe multiple injuries admitted in our hospital from March 2013 to February 2016 as observa-tion group after setting up the standard procedure.The levels of hemoglobin and lactate on admission and 1 h ( T1 ) and 24 h ( T2 ) after admission,time cost during every treatment period for emergency operation,mean length of stay in the ICU,missed diagnosis rate and the mortality rate were compared between the two groups.Results The levels of hemoglobin was higher and lactate was lower in the ob-servation group than those in the control group at T1 and T2(P<0.05).Compared with the control group,the observation group had much shorter time cost in the every treatment period for emergency operation and mean length of stay in the ICU (P<0.05).Conclu-sion The standard procedure for ICU treatment of the patients with severe multiple injury can significantly improve the successful res-cue rate and reduce the mortality and the missing diagnosis rate.%目的：探讨规范ICU内严重多发伤救治流程的临床效果。方法选择2010年5月至2013年2月收治的严重多发伤患者92例为对照组，2013年3月至2016年2月按照ICU内制定的严重多发伤救治流程后的108例为观察组，比较两组在入ICU时（ T0）、入ICU后1小时（ T1）、24小时（ T2）的血乳酸、血红蛋白指标；比较两组需急诊手术时在各环节救治时间、ICU住院时间、漏诊率及死亡率。结果观察组T1、T2的血乳酸低于对照组，血红蛋白指标高于对照组，需急诊手术者的影像检查时间、安排急诊手术时间短于对照组，ICU住院时间短于对照组，差异均有统计学意义（P＜0.05）。结论规范ICU内严重多发伤患者的救治体系，可以明显降低病死率、漏诊率，缩短ICU住院时间。