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改良型外固定支具在严重创伤性骨折院前急救中的应用

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目的 探讨改良型外固定支具在严重创伤性骨折院前急救中的应用价值。方法 回顾性选取2021年7月至2022年6月赣州市医疗急救中心急救科收治的60例严重创伤性骨折患者作为研究对象,其中2021年7月至12月收治的30例患者作为对照组,2022年1月至6月收治的30例患者作为观察组。对照组采用传统外固定治疗,观察组采用改良型外固定支具治疗。比较两组患者外固定操作时间、外固定松脱率,比较两组患者治疗前后疼痛程度[视觉模拟评分(VAS)]、舒适程度[简化舒适状况量表(GCQ)],比较两组患者治疗前,治疗后3、6个月生活质量[生存质量测定量表简表(WHOQOL-BREF)],比较治疗后两组患者满意度。结果 观察组患者外固定操作时间短于对照组、外固定松脱率低于对照组,差异有统计学意义(P<0。05)。治疗前,两组患者VAS、GCQ评分比较,差异无统计学意义(P>0。05);治疗后,两组患者VAS评分低于本组治疗前,GCQ评分高于本组治疗前,且观察组患者VAS评分低于对照组,GCQ评分高于对照组,差异有统计学意义(P<0。05)。整体分析发现,两组患者WHOQOL-BREF评分组间、时间比较,差异均有统计学意义(P<0。05);两组患者治疗后3、6个月WHO-QOL-BREF评分高于本组治疗前,差异有统计学意义(P<0。05);观察组治疗后3、6个月WHOQOL-BREF评分高于对照组,差异有统计学意义(P<0。05)。观察组患者总满意度高于对照组,差异有统计学意义(P<0。05)。结论 改良型外固定支具在严重创伤性骨折院前急救中应用价值较高,能有效缩短固定时间,降低松动率,减少患者疼痛并提高舒适度与生活质量,获得更高的患者满意度。
Application of modified external fixation brace in pre-hospital emergency treatment of severe traumatic fracture
Objective To investigate the application value of modified external fixation brace in pre-hospital emergency treatment of severe traumatic fracture.Methods A total of 60 patients with severe traumatic fracture admitted to Department of Emergency of Ganzhou Medical Emergency Center from July 2021 to June 2022 were retrospectively selected as the re-search objects,30 patients admitted from July to December 2021 as the control group,and 30 patients admitted from January to June 2022 as the observation group.The control group was treated with traditional external fixation,and the observation group was treated with modified external fixation brace.The operation time of external fixation and the release rate of exter-nal fixation were compared between the two groups,the pain degree[visual analogue scale(VAS)]and comfort level[general comfort questionnaire(GCQ)]before and after treatment were compared between the two groups,and the World Health Or-ganization of life-BREF(WHOQOL-BREF)was compared between the two groups before and after treatment.The satisfac-tion of the two groups after treatment was compared.Results The operation time of external fixation in observation group was shorter than that in control group,and the release rate of external fixation was lower than that in control group,the differ-ences were statistically significant(P<0.05).Before treatment,there were no significant differences in VAS and GCQ scores between the two groups(P>0.05).After treatment,VAS scores of the two groups was lower than those before treatment,GCQ scores were higher than those before treatment,and VAS score of the observation group was lower than that of the control group,GCQ score was higher than that of the control group,the differences were statistically significant(P<0.05).The over-all analysis showed that the differences among groups,time points in WHOQOL-BREF scores of two groups were statistical-ly significant(P<0.05).The WHOQOL-BREF scores of two groups at 3 and 6 months after treatment were higher than those before treatment,with statistical significances(P<0.05).The WHOQOL-BREF scores of the observation group were higher than those of the control group at 3 and 6 months after treatment,and the differences were statistically significant(P<0.05).The total satisfaction of patients in observation group was higher than that in control group,and the difference was sta-tistically significant(P<0.05).Conclusion The modified external fixation brace has high application value in the pre-hos-pital emergency treatment of severe traumatic fractures,which can effectively shorten the fixation time,reduce the rate of loosening,reduce the pain of patients,improve the comfort and quality of life,and obtain higher patients' satisfaction.

Modified external fixation braceTraumatic fracturePre-hospital emergency treatmentApplication value

王安红、陈衍斌、谢瑶瑶

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江西省赣州市医疗急救中心急救科,江西赣州 341000

改良型外固定支具 创伤性骨折 院前急救 应用价值

江西省赣州市科技计划项目

GZ2022ZSF378

2024

中国当代医药
中国保健协会 当代创新(北京)医药科学研究院

中国当代医药

影响因子:1.215
ISSN:1674-4721
年,卷(期):2024.31(7)
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