基于损伤控制理论的中西医结合护理在四肢多发骨折患者中的应用效果  

Application of Integrated Chinese and Western Medicine Nursing in Patients with Multiple Fractures of Limbs Based on Damage Control Operation

作　　者：黄瑞珍[1] 胡带玉[1] 曾焰辉[1] 董佩文[1] 熊俊琴 HUANG Ruizhen;HU Daiyu;ZENG Yanhui;DONG Peiwen;XIONG Junqin(Foshan City Hospital of TCM,Foshan 528000,China)

机构地区：[1]佛山市中医院,广东佛山528000

出　　处：《西部中医药》2022年第4期139-142,共4页Western Journal of Traditional Chinese Medicine

基　　金：广东省医学科研基金(A20171510)。

摘　　要：目的:探讨基于损伤控制理论(damage control operation,DCO)的中西医结合护理在四肢多发骨折患者中的应用效果。方法:将121例四肢多发骨折分为对照组58例,观察组63例,对照组给予常规急救护理,观察组给予基于DCO的中西医结合护理干预,比较两组围术期指标、院内死亡率、心理状态[汉密顿焦虑量表(Hamilton anxiety scale,HAMA)、汉密顿抑郁量表(Hamilton depression scale,HAMD)]、髋关节功能评定表评分(Harris hip score)、Barthel指数(Barthel index,BI)、疼痛程度(visual analogue score,VAS)评分、生活质量(quality of life questionnaire-Core 30,QLQ-C30)评分、并发症发生率及患者满意度。结果:观察组手术时间和住院时间短于对照组,术中出血量和输血量少于对照组,院内死亡率低于对照组(P<0.05);干预后两组HAMA、HAMD、VAS评分较干预前降低,Harris评分、BI、QLQ-C30评分较干预前升高(P<0.05),且观察组HAMA、HAMD、VAS评分低于对照组,Harris、BI、QLQ-C30评分高于对照组(P<0.05);观察组并发症发生率低于对照组(P<0.05);干预后观察组满意度评分高于对照组(P<0.05)。结论:基于DCO的中西医结合护理可缓解四肢多发骨折患者不良情绪和疼痛程度,提高患肢功能和生活质量,减少并发症发生,降低院内死亡率。Objective:To explore the application of integrated Chinese and Western medicine nursing in patients with multiple fracture of limbs based on damage control operation(DCO).Methods:All 58 patients suffering multiple fracture of limbs were chosen as the control group,and 63 cases as the observation group,the control group adopted conventional emergency nursing,and the observation group integrated Chinese and Western medicine nursing based on DCO.To compare perioperative indicators,hospital mortality rate,psychological state[HAMA,HAMD],Harris hip score,BI,VAS,QLQ-C30 scores,and the incidence of the complications and the patients’satisfaction degrees between both groups.Results:The observation group was shorter than the control group in operation time and hospitalization time,less than the control group in intraoperative bleeding and blood transfu-sion,lower than the control group in hospital mortality rate(P<0.05);after the intervention,HAMA,HAMD and VAS scores of both groups reduced compared with these before intervention,Harris,BI and QLQ-C30 scores increased than these before the intervention(P<0.05),and the observation group was lower than the control group in HAMA,HAMD and VAS scores,higher than the control group in Harris,BI and QLQ-C30 scores(P<0.05).The incidence of the complications of the observation group was lower than that of the control group(P<0.05);after the intervention,the observation group was higher than the control group in satisfaction scores(P<0.05).Conclusion:DCO-based integrated Chinese and Western medicine nursing could relieve the patients′bad moods and pain degrees,lift the limb function and quality of life,reduce the incidence of the complications and decrease hospital mortality rate.

关 键 词：四肢骨折 损伤控制理论 中西医结合护理 心理状态 生活质量 

分 类 号：R683.4[医药卫生—骨科学]