新型无创外固定装置在骨盆骨折院前急救中的临床应用  

Clinical application of new non-invasive external fixation device in pre-hospital emergency treatment for pelvic fracture

作　　者：郭剑[1] 雷洁洁 章柏平[1] 黄强[1] 万小雷 查波辉 GUO Jian;LEI Jiejie;ZHANG Baiping;HUANG Qiang;WAN Xiaolei;ZHA Bohui(Department of Emergency and Critical Medicine,The 908 th Hospital of Joint Service and Support Force of People′s Liberation Army,Yingtan,Jiangxi,335000;Department of Nephrology,The 908 th Hospital of Joint Service and Support Force of People′s Liberation Army,Yingtan,Jiangxi,335000)

机构地区：[1]中国人民解放军联勤保障部队第九〇八医院急诊与重症医学科,江西鹰谭335000 [2]中国人民解放军联勤保障部队第九〇八医院肾内科,江西鹰谭335000

出　　处：《实用临床医药杂志》2020年第3期26-28,32,共4页Journal of Clinical Medicine in Practice

基　　金：江西省卫生健康委科技计划项目(20203817);2019年度医院苗子培育基金立项课题(2019YT003);江西省鹰潭市指导性科技计划项目(YKz20180047)。

摘　　要：目的探讨新型无创外固定装置在骨盆骨折院前急救中的临床应用效果。方法选取60例骨盆骨折患者作为研究对象,根据固定装置的不同分为对照组和观察组,每组30例。2组患者根据骨折病情接受基础救治后,对照组采用常规外固定钢板支架固定或骨盆牵引带适当固定,观察组采用新型无创外固定装置进行固定。比较2组患者固定后疼痛缓解情况、再出血率、二次损伤率及抢救成功率情况。结果2组患者固定后简易McGill疼痛问卷表(SF-MPQ)评分均较固定前降低,观察组固定15、30 min后SF-MPQ评分均低于对照组,差异有统计学意义(P<0.05);观察组再出血率20.00%、二次损伤率3.33%低于对照组46.67%、23.33%,抢救成功率100.00%高于对照组86.67%,差异均有统计学意义(P<0.05)。结论新型无创外固定装置可有效缓解骨盆骨折患者的疼痛程度,降低再出血及二次损伤的发生率,提高临床救治成功率。Objective To explore the clinical application of new non-invasive external fixation device in pre-hospital emergency treatment for pelvic fracture.Methods Sixty patients with pelvic fractures were selected and divided into control group and observation group according to the different fixation devices,with 30 cases in each group.After receiving basic treatment based on fracture condition,the control group was treated with conventional external fixation plate fixation or pelvic traction belt fixation,and the observation group was treated with a new non-invasive external fixation device.The pain relief after fixation,rebleeding rate,secondary injury rate and success rate of rescue were compared between the two groups.Results The scores of the simple McGill pain questionnaire(SF-MPQ)significantly reduced in both groups after fixation,and the scores of SF-MPQ after 15 and 30 minutes of fixation in the observation group were significantly lower than those in the control group(P<0.05).The rebleeding rate and secondary injury rate of the observation group were 20.00%and 3.33%respectively,which were significantly lower than 46.67%and 23.33%of the control group,while the success rate of rescue was 100.00%in the observation group,and was significantly higher than 86.67%in the control group(P<0.05).Conclusion The new non-invasive external fixation device can effectively alleviate the pain of patients with pelvic fractures,reduce the incidence of rebleeding and secondary injuries,and improve the success rate of clinical rescue.

关 键 词：新型无创外固定装置 骨盆骨折 院前急救 疼痛 再出血 二次损伤 

分 类 号：R683.3[医药卫生—骨科学]