应用损伤控制理论在老年髋部骨折治疗中的初步报告  

Preliminary report of damage control theory in elderly patients with hip fracture

作　　者：严坤[1] 杨晓辉[1] 冉建[1] YAN Kun;YANG Xiaohui;RAN Jian(Department of Trumatic Orthopaedices,the Sixth filiated Hospital of Xinjiang Medical Universily,Urumqi.Xinjiang 830002,China)

机构地区：[1]新疆医科大学第六附属医院创伤骨科,乌鲁木齐830002

出　　处：《新疆医学》2020年第3期255-258,共4页Xinjiang Medical Journal

摘　　要：目的探讨损伤控制理论在老年髋部骨折中的应用效果。方法选取2017年1月至2018年12月于新疆医科大学第六附属医院实施手术的老年髋部骨折患者139例,使用随机抽签方法分为两组,对照组入院后完善检查,常规治疗后给予相应的手术治疗。实验组入院后给予实施损伤控制技术,首先行生理学与手术严重度评分系统评估手术风险,风险高者给予实施相应内科手段控制,调整后给予实施手术治疗,风险低者直接行手术治疗。结果两组患者并发症发生率,实验组明显低于对照组,差异有统计学意义(P<0.05),两组患者髋关节功能评分(Harris评分)比较,两组患者实验组的优良率高于对照组,差异有统计学意义(P<0.05)。两组患者术后6月及术后12月死亡率情况,早期死亡率,晚期死亡率两者无差异。结论应用损伤控制理论治疗老年髋部骨折患者,可减少患者疼痛,降低围手术并发症,有较好的临床使用价值。Objective To investigate the clinical efficacy of injury control technique in the treatment of hip fracture in the elderly.Methods From January 2017 to December 2018, 139 elderly patients with hip fracture who were operated on in the Sixth Affiliated Hospital of Xinjiang Medical University were randomly divided into two groups. The control group received complete examination after admission and received corresponding surgical treatment after routine treatment. After admission, the experimental group was given injury control technology. First, the physiological and surgical severity scoring system was used to assess the risk of surgery. The patients with high risk were given corresponding medical means control, and the patients with low risk were given surgical treatment directly after adjustment.Results The incidence of complications in the experimental group was significantly lower than that of the control group(P < 0.05), the difference was statistically significant(P < 0.05). There was no difference between the two groups in the mortality of 6 months and 12 months, early mortality and late mortality. Conclusion The application of damage control theory in the treatment of hip fracture in the elderly can reduce pain and perioperative complications, which has better clinical value.

关 键 词：损伤控制理论 老年 髋部骨折 并发症 

分 类 号：R68[医药卫生—骨科学]