首页|简易外固定在多发性创伤伴骨折院前急救中的应用

简易外固定在多发性创伤伴骨折院前急救中的应用

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目的 分析简易外固定在多发性创伤伴骨折院前急救中的应用.方法 140 例接受抢救的多发性创伤伴骨折患者,根据抢救方法的不同分为常规组(采用常规抢救方式)和试验组(采用简易外固定联合常规抢救),每组 70 例.比较两组患者抢救前后的抑郁自评量表(SDS)、焦虑自评量表(SAS)、视觉模拟评分法(VAS)评分以及满意度、急救结果.结果 抢救后,试验组患者SAS评分(40.37±2.57)分、SDS评分(41.76±2.50)分、VAS评分(1.98±0.52)分均低于常规组的(70.34±3.18)、(47.67±2.53)、(2.86±0.65)分(P<0.05).试验组患者总满意度 98.57%高于常规组的 90.00%(P<0.05).试验组症状改善率 97.14%高于常规组的 87.14%,再出血发生率 1.43%、二次损伤发生率 2.86%,均低于常规组的12.86%、18.57%(P<0.05).结论 多发性创伤伴骨折患者实施简易外固定可以有效改善患者疼痛问题,提高患者满意度,优化抢救结果,在临床中实践中可行性较高.
Application of simple external fixation in pre-hospital emergency treatment of multiple trauma with fracture
Objective To analyze the application of simple external fixation in pre-hospital emergency treatment of multiple trauma with fracture.Methods 140 patients with multiple trauma and fracture who received rescue were divided into a conventional group(using conventional rescue method)and an experimental group(using simple external fixation combined with conventional rescue)by different rescue methods,with 70 cases in each group.The self-rating depression scale(SDS),self-rating anxiety scale(SAS),visual analogue scale(VAS)score,patient satisfaction and first-aid effect were compared between the two groups before and after rescue.Results After rescue,the experimental group had SAS score of(40.37±2.57)points,SDS score of(41.76±2.50)points and VAS score of(1.98±0.52)points,which were lower than(70.34±3.18),(47.67±2.53)and(2.86±0.65)points in the conventional group(P<0.05).The total satisfaction of the experimental group was 98.57%,which was higher than 90.00%of the conventional group(P<0.05).The symptom improvement rate of 97.14%in the experimental group was higher than 87.14%in the conventional group;the experimental group had incidence of rebleeding of 1.43%and the incidence of secondary injury of 2.86%,which were lower than 12.86%and 18.57%in the conventional group(P<0.05).Conclusion Simple external fixation can effectively improve the pain of patients with multiple trauma and fracture,improve patient satisfaction,and optimize the rescue effect,which is highly feasible in clinical practice.

SatisfactionFirst-aid effectSimple external fixationMultiple traumaFracture

王虎、张玉涛、顾迎东

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222000 连云港市急救中心急救科

满意度 抢救结果 简易外固定 多发性创伤 骨折

2024

中国实用医药
中国康复医学会

中国实用医药

影响因子:0.797
ISSN:1673-7555
年,卷(期):2024.19(5)
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