摘要
目的 探讨损伤控制理论在骨盆骨折患者急救中的应用效果.方法 选择2021年6月至2024年6月临沭县中医医院骨伤科收治的70例骨盆骨折患者为研究对象,根据急救措施的不同分为观察组(采取损伤控制措施)和对照组(常规急救处理),每组35例.比较两组患者的急救相关指标、急救效果、生活质量、并发症发生情况.结果 观察组患者急救手术时间、术中出血量以及恢复时间均显著短于对照组(P<0.001).经过急救后,观察组临床急救有效率为97.14％(34/35),显著高于对照组的(80.00％)(28/35),P=0.024.观察组患者SF-36生活质量心理状态、情绪角色、躯体状态、躯体角色、疼痛水平、社会功能、行为能力、社会能力评分均显著高于对照组(P<0.05).观察组中有2例患者出现并发症,并发症的总发生率为5.71％,显著低于对照组中8例患者出现并发症,并发症的总发生率为22.86％(P=0.040).结论 损伤控制急救处理可有效缩短骨盆骨折患者的手术和恢复时间,减少出血量,提高急救效果,改善患者的生活质量,降低并发症的发生风险.
Abstract
Objective To explore the application effect of damage control theory in emergency treatment of pelvic fracture patients. Methods 70 patients with pelvic fractures admitted to the Orthopedics Department of Linshu County Traditional Chinese Medicine Hospital from June 2021 to June 2024 were selected as the research subjects. According to different emergency measures,they were divided into an observation group (with injury con-trol measures) and a control group (with routine emergency treatment),with 35 patients in each group. Compare the emergency related indicators,emergency effectiveness,quality of life,and incidence of complications between two groups of patients. Results The observation group had significantly shorter emergency surgery time,intraopera-tive blood loss,and recovery time compared to the control group (P<0.001). After emergency treatment,the clinical emergency response rate of the observation group was 97.14％ (34/35),significantly higher than that of the control group (80.00％) (28/35),P=0.024. The SF-36 quality of life psychological status,emotional role,physical state,physical role,pain level,social function,behavioral ability,and social ability scores of the observation group were significantly higher than those of the control group (P<0.05). Two patients in the observation group developed com-plications,with a total incidence rate of 5.71％,significantly lower than the eight patients in the control group who developed complications,with a total incidence rate of 22.86％ (P=0.040). Conclusion Damage control emer-gency treatment can effectively shorten the surgical and recovery time of pelvic fracture patients,reduce bleeding,improve emergency outcomes,enhance patients' quality of life,and reduce the risk of complications.
维普
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