目的 探讨现代网络院前急救模式对重型颅脑损伤患者预后的影响.方法 将院前重型颅脑外伤患者分成两组；现代网络院前急救模式(A组,162例)由经过专业培训的急救队伍组成,能够进行基础、高级生命支持,配备先进急救设备和现代交通工具等,利用现代网络连接快捷的特点,在深圳市急救中心调度下开展院前现场急救工作；传统模式组(B组,124例)患者自行到达医院,无医务人员现场抢救及陪同.统计调度时间、到达时间、现场时间、返回时间、总时间,同时对受伤类型、颅内损伤程度、格拉斯哥预后分级( GOS)进行统计学分析.结果 A组和B组的受伤类型、颅内损伤程度差异无显著性(P＞0.05).A组预后伤残程度评级:良好72.22％,中残19.14％,重残1.85％,植物状态0.62％,死亡6.17％;B组预后伤残程度评级:良好47.58％,中残24.19％,重残12.10％,植物状态2.23％,死亡14.51％;A组预后优于B组,差异有显著性(P＜0.05).结论 现代网络院前急救模式能提升重型颅脑损伤急救速度,降低死亡率和改善预后.%Objective To explore the influence of modern network pre-hospital emergency care mode on the prognosis of the patients with severe brain trauma.Methods Divided the patients with severe brain trauma into 2 groups:modern network pre-hospital emergency care mode group( A group,162 cases ),which had a professional rescue team that equipped with advanced first-aid equipment and had modern transportation and modem fast network,carried pre-hospital emergency rescue work out under the management of the Shenzhen City Emergency Center; Patients in traditional mode group ( B group,124 cases ) went to hospital with no health care and no companionship of medical worker.Then recorded the scheduling time,running time,rescue time,returning time,and total time; statistically analyzed the traumatic type,traumatic degree,and Glasgow Outcome Scale( GOS ) in both groups.Results There were no significant differences in traumatic type and traumatic degree between this both groups.The GOS outcomes of group A:Ⅴ 72.22％,Ⅳ 19.14％,Ⅲ 1.85％,Ⅱ 0.62％,Ⅰ 6.17％; that was significantly better than group B's ( Ⅴ 47.58％,Ⅳ 24.19％,Ⅲ 12.10％,Ⅱ 2.23％,Ⅰ 14.51％;P ＜ 0.05 ).Conclusions Modem network pre-hospital emergency care mode can speed up the rescue of patients with severe brain trauma,lower mortality,and improve prognosis.
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