急诊绿色通道对急诊患儿的应用研究
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摘要
目的探讨急诊绿色通道在急诊患儿中的应用效果。方法选取2016年10月～2017年3月我院收治的93例急重症患儿,按照常见症状类别分为三组,分析各组患儿的基本资料,分析呕吐、腹痛组患儿不同年龄段病种分布,以及临床症状和辅助检查与住院率的相关性。结果治疗后各组患儿病情均有所好转,各组患儿的年龄、住院时间、诊断符合率、转归差异无统计学意义(P> 0.05)。呕吐、腹痛组患儿中,消化道疾病以> 3岁组发病率高(P <0.05),发热、皮疹、休克对住院影响较大(P <0.05),血常规、肝功能、血Na~+、血/尿淀粉酶、ECG在不同住院情况下差异有统计学意义(P <0.05)。结论急诊绿色通道可以显著提高我院对危重患儿的救治效果,值得推广应用。
Objective To explore the effect of application of green channel in children in department of emergency.Methods 93 children with acute and severe illness who were admitted and treated in our hospital from October 2016 to March 2017 were selected.According to common symptom categories,they were divided into three groups.The basic data of children in all groups were analyzed.The distribution of diseases of children with vomiting and abdominal pain in different age groups was analyzed.And the correlation between clinical symptoms and auxiliary examinations and hospitalization rate were analyzed. Results After treatment,all the children in each group got better.There were no significant differences in age,hospital stay,diagnostic coincidence rate and outcome among the groups(P > 0.05).In children with vomiting and abdominal pain,the incidence of gastrointestinal diseases was higher in the group of > 3 years old(P < 0.05).Fever,rash and shock had a greater effect on hospitalization(P < 0.05).There were significant differences in blood routine,liver function,blood Na~+,blood/urine amylase and ECG in different hospitalization conditions(P < 0.05). Conclusion Green channel in emergency department can significantly improve the curative effect of critically ill children in our hospital,which is worthy of popularization and application.
Objective To explore the effect of application of green channel in children in department of emergency.Methods 93 children with acute and severe illness who were admitted and treated in our hospital from October 2016 to March 2017 were selected.According to common symptom categories,they were divided into three groups.The basic data of children in all groups were analyzed.The distribution of diseases of children with vomiting and abdominal pain in different age groups was analyzed.And the correlation between clinical symptoms and auxiliary examinations and hospitalization rate were analyzed. Results After treatment,all the children in each group got better.There were no significant differences in age,hospital stay,diagnostic coincidence rate and outcome among the groups(P > 0.05).In children with vomiting and abdominal pain,the incidence of gastrointestinal diseases was higher in the group of > 3 years old(P < 0.05).Fever,rash and shock had a greater effect on hospitalization(P < 0.05).There were significant differences in blood routine,liver function,blood Na~+,blood/urine amylase and ECG in different hospitalization conditions(P < 0.05). Conclusion Green channel in emergency department can significantly improve the curative effect of critically ill children in our hospital,which is worthy of popularization and application.
引文
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[15]王林霞,潘国权.以呕吐、腹痛为急诊症状患儿的临床分析[A].2011年浙江省医学会儿科学分会学术年会暨儿内科疾病诊治新进展国家级学习班论文汇编[C],2011:1052-1055.
[2]赵贤武.急诊一体化绿色通道救治急性上消化道出血的效果分析[J].中国当代医药,2018,25(7):38-40.
[3]李亚鹏,陈燕君.急诊儿科绿色通道患儿急诊症状的临床观察[J].医药卫生:文摘版,2016(6):72-74.
[4]林燕群.实施急诊绿色通道管理的效果观察[J].齐鲁护理杂志,2017,23(6):71.
[5]王媛媛,孙晓宇,于楠楠.优化门急诊绿色通道流程管理的效果[J].世界临床医学,2017,11(2):1170-1171
[6]杜寨,肖承昊,胡美云.急诊绿色通道在抢救一氧化碳中毒患者中的应用及效果[J].检验医学与临床,2013(21):2801-2802.
[7]李璧如,王莹,高爱萍.儿科急救绿色通道的运作与质量评价[J].中国小儿急救医学,2007,14(6):514-517
[8]许广瑜.浅谈急诊绿色通道的重要性[J].哈尔滨医药,2013,33(4):311.
[9]罗珊.急诊绿色通道救治严重创伤患者的护理措施[J].中华灾害救援医学,2014,2(5):260-262.
[10]王林霞.儿科急诊绿色通道患儿急诊症状的临床研究[D].温州:温州医学院,2009.
[11]袁伟红,李淑兰.对急诊脑梗塞患者实施绿色通道的效果观察[J].天津护理,2015,23(1):37-38.
[12]丁高潮.建立急诊绿色通道对救治颅脑外伤患者的价值分析[J].中国处方药,2017,15(6):122-123.
[13]凌春燕.门急诊绿色通道流程管理优化效果评价[J].数理医药学杂志,2015(12):1830-1831.
[14]顾静.全程绿色通道护理路径用于急诊小儿高热惊厥的效果评价[J].检验医学与临床,2016,13(24):3552-3554.
[15]王林霞,潘国权.以呕吐、腹痛为急诊症状患儿的临床分析[A].2011年浙江省医学会儿科学分会学术年会暨儿内科疾病诊治新进展国家级学习班论文汇编[C],2011:1052-1055.