摘要目的 探讨院前院内无缝隙急救护理模式在热射病患者急诊救治中的应用价值。方法 选取2019年6月至2020年8月江西省南昌市第三医院收治的82 例热射病患者作为研究对象，采用随机数字表法将其分为对照组（n=41）和观察组（n=41）。对照组给予常规护理模式，观察组给予院前院内无缝隙急救护理模式。比较两组患者护理后的神经损伤情况、降温情况及临床症状恢复时间。结果 观察组患者护理后的神经损伤情况轻于对照组，差异有统计学意义（P<0.05）；观察组患者入室抢救0.5 h 体温低于对照组，差异有统计学意义（P<0.05）；两组患者入室抢救2 h 体温比较，差异无统计学意义（P>0.05）；观察组患者体温降至38.5℃时间短于对照组，差异有统计学意义（P<0.05）；护理后，观察组患者的临床症状恢复时间为（5.31±0.76）h，对照组患者的临床症状恢复时间为（6.59±0.99）h，观察组患者的临床症状恢复时间短于对照组，差异有统计学意义（P<0.05）。结论 院前院内无缝隙急救护理模式能有效缩短热射病患者症状恢复时间，改善患者预后，提高救治效果。
Abstract： Objective To explore the application value of pre-hospital and nosocomial seamless emergency care mode in the emergency treatment of heatstroke patients. Methods A total of 82 patients with heatstroke admitted to Nanchang Third Hospital were enrolled between June 2019 and August 2020. According to random number table method, they were divided into control group (n=41) and observation group (n=41). The control group was given routine nursing,while observation group was given pre-hospital and nosocomial seamless emergency care mode for nursing. The neurological injury, cooling and recovery time of clinical symptoms were compared between the two groups after nursing.Results The neurological injury in observation group was lighter than that in control group after nursing, and the difference was statistically significant (P<0.05). The body temperature of patients in the observation group was lower than that in the control group at 0.5 h after rescue, and the difference was statistically significant (P<0.05). There was no significant difference in body temperature between the two groups at 2 hours after rescue (P>0.05). The time of body temperature dropping to 38.5℃in observation group was shorter than that in control group, and the difference was statistically significant (P<0.05). After nursing, the recovery time of clinical symptoms in the observation group was (5.31±0.76) h, and that in the control group was (6.59±0.99) h. The recovery time of clinical symptoms in the observation group was shorter than that in the control group, the difference was statistically significant (P<0.05). Conclusion The pre-hospital and nosocomial seamless emergency care mode can effectively shorten recovery time of heatstroke patients,improve prognosis and treatment effect.
金燕. 院前院内无缝隙急救护理模式在热射病患者急诊救治中的应用[J]. 中国当代医药, 2022, 29(6): 186-188.
JIN Yan. Application of pre-hospital and nosocomial seamless emergency care mode in the emergency treatment of heatstroke patients. 中国当代医药, 2022, 29(6): 186-188.
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