多发伤伴四肢骨折患者的急救与早期手术治疗效果分析  

Analysis of Treatment Effect of First Aid and Early Surgery in Patients with Multiple Injuries and Extremity Fractures

作　　者：王晶 Wang Jing(Xianyang International Airport Fire Emergency Security Department,Xi'an 710082,Shaanxi Province,China)

机构地区：[1]咸阳国际机场消防急救保障部,陕西西安710082

出　　处：《中国社区医师》2022年第31期14-16,共3页Chinese Community Doctors

摘　　要：目的:研究多发伤伴四肢骨折患者的急救与早期手术治疗效果。方法:选取在2019年2月-2021年12月咸阳国际机场消防急救保障部收治的82例多发伤伴四肢骨折患者为研究对象,根据计算机随机分组法分为对照组和观察组,各41例。对照组开展延期手术,观察组实施早期手术,对比两组凝血酶时间、凝血酶原时间、活化部分凝血活酶时间、纤维蛋白原水平、术中出血量、手术耗时、住院时间、骨折愈合时间及数字疼痛分级法(NRS)评分。结果:术前,两组凝血酶时间、凝血酶原时间、活化部分凝血活酶时间、纤维蛋白原水平比较,差异无统计学意义(P>0.05);术后两组凝血酶时间、凝血酶原时间、活化部分凝血活酶时间长于术前,纤维蛋白原水平低于术前,差异有统计学意义(P<0.05)。观察组术中出血量少于对照组,手术耗时、住院时间、骨折愈合时间短于对照组,差异有统计学意义(P<0.05)。术前,两组NRS评分比较,差异无统计学意义(P>0.05);术后24 h、48 h、72 h,观察组NRS评分低于对照组,差异有统计学意义(P<0.05)。观察组并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论:急救与早期手术的实施取得了比较理想的效果,适合应用在多发伤伴四肢骨折患者中,有助于改善凝血功能,缩短骨折愈合时间,降低并发症发生率。Objective:To study the treatment effect of first aid and early surgery in patients with multiple injuries and extremity fractures.Methods:A total of 82 patients with multiple injuries and extremity fractures who were treated in Xianyang International Airport Fire Emergency Security Department between February 2019 and December 2021 were selected as the study subjects.According to computer randomization method,they were divided into control group and observation group,with 41 cases in each group.The control group performed delayed surgery,and the observation group performed early surgery.The thrombin time,prothrombin time,activated partial thromboplastin time,fibrinogen level,intraoperative blood loss,operation time,length of hospital stay,fracture healing time and numerical rating scale(NRS)score for pain were compared between the two groups.Results:There were no significant differences in thrombin time,prothrombin time,activated partial thromboplastin time and fibrinogen levels between the two groups before surgery(P>0.05).The thrombin time,prothrombin time and activated partial thromboplastin time in the two groups after surgery were longer than those before surgery,and the fibrinogen level after surgery was lower than that before surgery,and the differences were statistically significant(P<0.05).After surgery,the thrombin time,prothrombin time and activated partial thromboplastin time in the observation group were longer than those in the control group,and the fibrinogen level in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).The intraoperative blood loss in the observation group was less than that in the control group,and the operation time,length of hospital stay and fracture healing time in the observation group were shorter than those in the control group,and the differences were statistically significant(P<0.05).Before surgery,there was no significant difference in NRS scores between the two groups(P>0.05).At 24 h,48 h and 72 h after

关 键 词：多发伤 四肢骨折 急救 早期手术 

分 类 号：R687.3[医药卫生—骨科学]