ISSN 2097-5724 CN 61-1535/R 主管·主办:陕西省疾病预防控制中心
疾病预防与控制 Disease Prevention and Control 医学学术期刊 双月刊
2026-04-030 临床药物与手术治疗 2026, 2(04): 117-120

探究院前-院内一体化急诊护理对危重症患者抢救中的效果

东莞市横沥医院

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摘要

目的 探讨在危急重症患者抢救中采用院前-院内一体化急诊护理对患者预后康复的影响。方法 本院于2024年开始实施院前-院内一体化急诊护理,在2023年9月至2024年12月选取25例接受急诊护理的患者记为对照组,以2024年1月至2025年5月收治的在急诊护理基础上接受院前-院内一体化急诊护理的25例患者记为观察组,总样本数为50例。比较两组的急救时间和住院时间、并发症发生率、抢救成功率,比较两组出院时和出院后3个月的生活质量。结果 观察组患者护理后的急诊停留时间、生命体征稳定时间、住院时间均短于对照组(P<0.05)。观察组患者的并发症发生率低于对照组(P<0.05);抢救成功率高于对照组(P<0.05)。观察组患者出院时和出院后3个月的GQOLI-74评分高于对照组(P<0.05)。结论 在危重症患者抢救中采用院前-院内一体化急诊护理可缩短患者的急救时间和住院时间,降低并发症发生率,提高抢救成功率,改善其生活质量。

Abstract

Objective To explore the impact of integrated pre-hospital and in-hospital emergency care on the prognosis and rehabilitation of critically ill patients in the rescue of critical and severe cases. Methods Our hospital began to implement pre-hospital and in-hospital integrated emergency care in 2024. From September 2023 to December 2024, 25 patients who received emergency care were selected and recorded as the control group. 25 patients who received pre-hospital and in-hospital integrated emergency care on the basis of emergency care from January 2024 to May 2025 were recorded as the observation group, with a total sample size of 50 cases. The emergency rescue time and hospital stay, complication rate and rescue success rate of the two groups were compared. The quality of life of the two groups at discharge and 3 months after discharge was also compared. Results The emergency stay time, stable vital signs time and hospital stay time of the observation group after nursing were all shorter than those of the control group(P<0.05). The incidence of complications in the observation group was lower than that in the control group(P<0.05). The success rate of rescue was higher than that of the control group(P<0.05). The GQOLI-74 scores of the observation group at discharge and 3 months after discharge were higher than those of the control group(P<0.05). Conclusion The adoption of prehospital and in-hospital integrated emergency care in the rescue of critically ill patients can shorten the emergency rescue time and hospital stay of patients, reduce the incidence of complications, increase the success rate of rescue, and improve their quality of life.

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[1]吴巧凤,香瑞嫦,殷凤如,等.探究院前-院内一体化急诊护理对危重症患者抢救中的效果[J].疾病预防与控制,2026,2(04):117-120.