骨科危重患者行损伤控制性手术的护理  

Nursing Care for Critically Ill Orthopaedic Patients with Damage Control Surgery

作　　者：徐凤[1] 吴富章[1] 郭琼[1] 蔡靖宇[1] 刘畅[1] 

机构地区：[1]中国人民武装警察部队安徽总队医院,合肥市230041

出　　处：《当代护士（中旬刊）》2010年第5期4-5,共2页Modern Nurse

摘　　要：目的探讨骨科危重患者行损伤控制性手术的最佳护理措施。方法将骨科ICU于2004年1月～2006年5年期间收治的66例危重患者随机分为对照组(30例)及实验组(36例)。对实验组患者根据损伤控制性手术的3个阶段治疗特点,制定每个阶段的护理重点。对对照组患者给予传统护理。比较2组患者的死亡率和平均住院时间。结果实验组患者的死亡率低于对照组(p<0.01),平均住院时间较对照组缩短(p<0.01)。结论系统学习损伤控制性手术的理论,制定针对性的护理措施,是提高危重患者存活率、缩短住院时间的有效途径。Objective：To figure out the best nursing care for critically ill orthopaedic patients with damage control surgery.Methods：66 critically ill patients in orthopaedic ward during January 2004 to May 2005 were randomly divided into control group and intervention group,each group had 30 patients.Regular nursing care was conducted on the control group.Nursing care for damage control surgery was conducted on the intervention group,including making plans for every stage of damage control surgery based on the treatment characteristics of the three stages.The mortality and average length of stays in hospital were compared with the two groups.Results：The mortality of intervention group was lower than that of the control group （p〈0.01）,the average length of stays in hospital of intervention group was shorter than that of the control group（p〈0.01）.Conclusion：h was suggested that systematic training of damage control surgery theory should be enhance.Making nursing care plans according to each stage of the damage control surgery might help decrease the orthopaedic patients＇ mortality and shorten the average length of stays in hospital.

关 键 词：骨科 危重患者 损伤控制 手术 护理 

分 类 号：R473.6[医药卫生—护理学]