疾病预防与控制杂志

摘要：目的 探讨多发伤创伤患者采用院前 - 急诊 - 重症一体化救治模式的效果。方法 选取 2022 年 1 月至 2024 年 12 月武山县人民医院收治的 88 例多发伤创伤患者，采用随机数字表法分组，对照组 44 例予以常规救治， 观察组 44 例予以院前 - 急诊 - 重症一体化救治模式。比较两组实施后救治效果、救治时间及实施期间并发症发生 情况，比较两组实施后患者抢救满意度。结果 实施后，观察组休克、死亡发生率、并发症发率均低于对照组， 入住急诊重症监护室（EICU）时间、住院时间均短于对照组（P＜0.05）；实施后，观察组院前急救时间、急诊救治时间、从入院至接受手术时间均短于对照组（P＜0.05）；实施 72 h 后观察组白细胞介素 -6（IL-6）、肿瘤坏死因子 -α（TNF-α）低于对照组，白细胞介素 -8（IL-8）高于对照组（P＜0.05）；实施后，观察组抢救满意率高 于对照组（P＜0.05）。结论 急诊多发伤创伤患者应用院前 - 急诊 - 重症一体化救治模式可缩短患者救治时间，提 升救治效果，减轻患者炎症水平，并可有效降低实施期间并发症发生率，且实施后患者满意度较高，值得借鉴。

Abstract: Objective To explore the effect of the integrated pre-hospital-emergency-critical care treatment mode in patients with multiple trauma. Methods A total of 88 patients with multiple trauma admitted to Wushan County People’s Hospital from January 2022 to December 2024 were selected and divided into two groups using a random number table method. The control group (44 cases) received conventional treatment, while the observation group (44 cases) received the integrated pre-hospital-emergency-critical care treatment mode. The treatment effect, treatment time, incidence of complications during intervention, and patients’ satisfaction with rescue after intervention were compared between the two groups. Results  After intervention, the incidences of shock, death, and complications in the observation group were lower than those in the control group; the duration of stay in the emergency intensive care unit (EICU) and total hospitalization time were shorter than those in the control group (P＜0.05). In addition, the pre-hospital emergency time, emergency treatment time, and time from admission to surgery in the observation group were shorter than those in the control group (P＜0.05). At 72 hours after intervention, the levels of interleukin-6 (IL-6) and tumor necrosis factor-α (TNF-α) in the observation group were lower than those in the control group, while the level of interleukin-8 (IL-8) was higher than that in the control group (P＜0.05). Moreover, the satisfaction rate with rescue in the observation group was higher than that in the control group (P＜0.05). Conclusion  The application of the integrated pre-hospital-emergency-critical care treatment mode in emergency patients with multiple trauma can shorten treatment time, improve treatment effect, reduce inflammatory levels, effectively lower the incidence of complications during intervention, and achieve high patient satisfaction, which is worthy of promotion.