“1 h创伤急救圈”信息交互系统在严重创伤患者救治中的应用研究

doi:10.3761/j.issn.2096-7446.2025.06.007

摘要/Abstract

摘要：

目的探讨“1 h创伤急救圈”信息交互系统在严重创伤患者救治中的应用效果。方法基于“1 h创伤急救圈”构建实时、精准、共享的信息交互系统。采用便利抽样法，选取郑州市某三级甲等医院2023年1月1日—12月31日收治的138例严重创伤患者为试验组，应用信息交互系统抢救模式；2022年1月1日—12月31日收治的100例严重创伤患者作为对照组，应用常规抢救模式。比较两组院前院内衔接的关键时间指标、患者24 h存活率、急诊手术率、护理不良事件发生率、急诊绕行率的差异。结果试验组院前反应时间、院内预警时间、确定性治疗时间、急诊停留时间、急诊就诊到手术时间低于对照组，差异均具有统计学意义（P<0.05）。试验组较对照组的24 h存活率（98.56%与92.00%）、急诊手术率（41.30%与27.00%）、护理不良事件发生率（3.62%与11.00%）、急诊绕行率（13.00%与1.00%）均明显改善，差异均具有统计学意义（P<0.05）。结论 “1 h创伤急救圈”信息交互系统可显著缩短患者救治时间，降低医疗安全不良事件发生率，提高救治成功率。

关键词: 严重创伤, 信息交互系统, 1 h创伤急救圈, 危重病护理

Abstract:

Objective To explore the impact of an interactive information system on the outcomes of severe trauma patients within the “1-hour trauma emergency circle”. Methods Based on the “1-hour trauma emergency circle”，a real-time，accurate，and shared information interaction system was constructed. Using convenience sampling，138 severely injured patients admitted to a tertiary class A hospital in Zhengzhou from January 1to December 31，2023，were selected as the experimental group，the information interaction model was applied. 100 severely injured patients admitted from January 1，to December 31，2022，were selected as the control group，the conventional rescue model was applied. The key time indicators，24-hour survival rate，emergency surgery rate，incidence of adverse events，and emergency bypass rate were compared between the two groups. Results The pre-hospital response time，in-hospital warning time，definitive treatment time，emergency stay time，and emergency visit to surgery time in the experimental group were lower than those in the control group，and the differences were statistically significant（P<0.05）. Compared with the control group，the 24-hour survival rate（98.56% vs. 92.00%），emergency surgery rate（41.30% vs. 27.00%），adverse event rate（3.62% vs. 11.00%），and emergency bypass rate（13.00% vs. 1.00%） were significantly improved in the experimental group（P<0.05）. Conclusion The application of information interaction system in the “1-hour trauma emergency circle” can significantly shorten the time of patient treatment，reduce the incidence of medical adverse events，and improve the success rate of treatment.

Key words: Severe Trauma, Information Interactive System, 1-Hour Trauma Emergency Circle, Critical Care Nursing

胡明强, 刘颖, 刘琪燕, 郑梦珂, 李珊珊, 余晶晶, 张妙琪, 孙家安. “1 h创伤急救圈”信息交互系统在严重创伤患者救治中的应用研究[J]. 中华急危重症护理杂志, 2025, 6(6): 681-686.

HU Mingqiang, LIU Ying, LIU Qiyan, ZHENG Mengke, LI Shanshan, YU Jing-jing, ZHANG Miaoqi, SUN Jiaan. The application of an information interaction system in the treatment of severe trauma patients within “1-hour trauma emergency circle”[J]. Chinese Journal of Emergency and Critical Care Nursing, 2025, 6(6): 681-686.

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参考文献 18

[1]	Wang YH, Wang C, Hu P,et al. China trauma treatment statistics 2019:a national retrospective study based on hospitalized cases[J]. Front Public Health, 2023, 11:1116828.
[2]	钟世镇. 创伤救治发展的部分信息[J]. 中华创伤骨科杂志, 2021, 23(3):19.
	Zhong SZ. Information for development of trauma treatment[J]. Chin J Orthop Trauma, 2021, 23(3):19.
[3]	中国医师协会急诊分会, 中国人民解放军急救医学专业委员会, 中国人民解放军重症医学专业委员会,等. 创伤失血性休克诊治中国急诊专家共识[J]. 临床急诊杂志, 2017, 18(12):881-889.
	Chinese Medical Doctor Association Emergency Branch, Chinese People’s Liberation Army Emergency Medicine Committee, Chinese People’s Liberation Army Critical Care Medicine Committee,et al. Consensus of emergency experts in China on diagnosis and treatment of traumatic hemorrhagic shock[J]. J Clin Emerg, 2017, 18(12):881-889.
[4]	赵晓东, 刘红升. 严重创伤患者急诊早期救治的研究进展:团队模式、标准化细节[J]. 中华急诊医学杂志, 2016, 25(5):553-556.
	Zhao XD, Liu HS. Progress in the early emergency treatment of patients with severe trauma-team mode and standardization details[J]. Chin J Emerg Med, 2016, 25(5):553-556.
[5]	周涛, 李树炎, 阮玉瑛,等. 严重多发伤的医院-社区一体化救治[J]. 中国急救医学, 2017, 37(9):864-867.
	Zhou T, Li SY, Ruan YY,et al. Hospital and community integration treatment of severe multiple injuries[J]. Chin J Crit Care Med, 2017, 37(9):864-867.
[6]	刘畅, 肖镭, 荆琳,等. 区域性创伤救治体系中郑州市“1h创伤急救圈”模式初步探索[J]. 中华创伤杂志, 2022, 38(4):354-358.
	Liu C, Xiao L, Jing L,et al. A preliminary exploration of the mode of “1-hour trauma first aid circle” in the regional trauma treatment system in Zhengzhou[J]. Chin J Trauma, 2022, 38(4):354-358.
[7]	国家卫生健康委办公厅印发急诊医学等6个专业医疗质量控制指标(2024年版)[J]. 上海护理, 2024, 24(6):20.
	The General Office of the National Health and Wellness Commission issued six professional medical quality control indicators such as emergency medicine(2024 edition)[J]. Shanghai Nurs, 2024, 24(6):20.
[8]	国家卫生健康委办公厅关于印发患者安全专项行动方案(2023-2025年)的通知[J]. 中华人民共和国国家卫生健康委员会公报, 2023,(9):6-11.
	Notice from the General Office of the National Health Commission on the issuance of the Patient Safety Special Action Plan(2023-2025)[J]. Gazette of the National Health Commission of the People’s Republic of China, 2023,(9):6-11.
[9]	步涨, 徐峰. PDCA结合信息化创伤复苏时间轴管理的质量控制在严重创伤救治中的应用[J]. 医学研究生学报, 2021, 34(9):897-901.
	Bu Z, Xu F. The quality control in the treatment of severe trauma using PDCA combined with imformationalized truama resuscitation time axis management[J]. J Med Postgrad, 2021, 34(9):897-901.
[10]	常杰, 方张玲, 王谨,等. 数字化平台联合多学科协作诊疗模式在严重创伤患者救治中的应用效果[J]. 中国急救复苏与灾害医学杂志, 2023, 18(10):1306-1309.
	Chang J, Fang ZL, Wang J,et al. The application effect of digital platform combined with multidisciplinary collaborative diagnosis and treatment mode in the treatment of severe trauma patients[J]. China J Emerg Resusc Disaster Med, 2023, 18(10):1306-1309.
[11]	涂建锋, 张茂, 沈伟锋,等. 严重多发伤患者确定性治疗前时间与预后的关系[J]. 中华创伤杂志, 2008, 24(2):88-91.
	Tu JF, Zhang M, Shen WF,et al. Relationship between pre-definitive therapy interval and prognosis in patients with severe multiple injury[J]. Chin J Trauma, 2008, 24(2):88-91.
[12]	陈鹏, 顾卫军, 李萍,等. 5G网络医联体联动模式在严重创伤救治中的应用效果[J]. 中华创伤杂志, 2023, 39(2):160-164.
	Chen P, Gu WJ, Li P,et al. The application effect of 5G network medical linkage mode in the treatment of severe trauma[J]. Chin J Trauma, 2023, 39(2):160-164.
[13]	杜哲, 黄伟, 王志伟,等. 多学科协作诊疗模式在严重创伤患者救治中的应用[J]. 北京大学学报(医学版), 2020, 52(2):298-301. doi: 10.19723/j.issn.1671-167X.2020.02.017
	Du Z, Huang W, Wang ZW,et al. Application of multidisciplinary team(MDT) in the treatment of severe trauma[J]. J Peking Univ Health Sci, 2020, 52(2):298-301.
[14]	闫金亮, 田景中, 傅家清,等. 严重腹部创伤伴颅脑损伤患者急诊一体化外科手术策略及预后分析[J]. 创伤外科杂志, 2021, 23(9):663-667.
	Yan JL, Tian JZ, Fu JQ,et al. Emergency integrated surgical strategy and prognosis of patients with severe abdominal trauma with craniocerebral injury[J]. J Trauma Surg, 2021, 23(9):663-667.
[15]	周茜, 裔雅萍, 薛雯,等. 智慧护理系统在创伤护理一体化团队激活中的实践研究[J]. 护理学杂志, 2022, 37(6):62-65.
	Zhou Q, Yi YP, Xue W,et al. Practice research on the smart nursing system in the integrated team activation of trauma care[J]. J Nurs Sci, 2022, 37(6):62-65.
[16]	冯春玲, 汪培培, 姜荷霖,等. 5G+院前院内一体化融合系统在急诊严重创伤患者救治中的应用[J]. 护理学杂志, 2024, 39(19):97-100.
	Feng CL, Wang PP, Jiang HL,et al. Application of 5G pre-hospital and intra-hospital integrated fusion system in the treatment of patients with severe trauma in the emergency department[J]. J Nurs Sci, 2024, 39(19):97-100.
[17]	沈伟, 方伟敏, 杜忠华,等. 创伤急救信息系统的设计与实现[J]. 中国数字医学, 2013, 8(4):40-42.
	Shen W, Fang WM, Du ZH,et al. Design and realization of trauma emergency information system[J]. China Digit Med, 2013, 8(4):40-42.
[18]	王钰炜, 周帅帅, 王飒,等. 一站式创伤复苏单元整合5G技术的建设及应用研究[J]. 中华急危重症护理杂志, 2022, 3(4):300-304.
	Wang YW, Zhou SS, Wang S,et al. The construction and practice of a “one-stop” trauma resuscitation unit integrating with 5G technology[J]. Chin J Emerg Crit Care Nurs, 2022, 3(4):300-304.