损伤控制性外科理念在急诊重症创伤患者中的应用效果  

Application effect of damage control surgery concept in patients with emergency severe trauma

作　　者：杨梅 杨梦莹 YANG Mei;YANG Mengying(Tongchuan Mining Bureau Central Hospital,Tongchuan 727000,China)

机构地区：[1]铜川矿务局中心医院,陕西铜川727000

出　　处：《临床医学研究与实践》2023年第26期170-173,共4页Clinical Research and Practice

摘　　要：目的探讨损伤控制性外科(DCS)理念在急诊重症创伤患者中的应用效果。方法选取2018年7月至2021年7月100例急诊重症创伤患者为研究对象,根据护理方式不同将其分为对照组和观察组,各50例。对照组实施常规护理,观察组实施DCS理念指导下的护理。比较两组的干预效果。结果观察组的抢救成功率高于对照组(P<0.05)。观察组的急诊抢救时间、急诊至确定性手术耗时、手术时间、住院时间、体温恢复时间、凝血酶原时间(PT)恢复时间、活化部分凝血活酶时间(APTT)恢复时间、乳酸恢复时间短于对照组,术中出血量、输血量少于对照组(P<0.05)。观察组的满意度高于对照组(P<0.05)。干预后,观察组的抑郁自评量表(SDS)、焦虑自评量表(SAS)、急性生理学与慢性健康状况评分系统Ⅱ(APACHEⅡ)评分、心率(HR)、收缩压(SBP)及舒张压(DBP)低于对照组,格拉斯哥昏迷量表(GCS)评分高于对照组(P<0.05)。结论DCS理念用于急诊重症创伤患者中可提高救治效果,改善负面情绪,提高满意度。Objective To explore the application effect of damage control surgery(DCS)concept in patients with emergency severe trauma.Methods A total of 100 patients with emergency severe trauma from July 2018 to July 2021 were selected as the research objects.According to different nursing methods,the patients were divided into control group and observation group,with 50 cases in each group.The control group implemented routine nursing,and the observation group implemented nursing under the guidance of DCS concept.The intervention effects of the two groups were compared.Results The rescue success rate of the observation group was higher than that of the control group(P<0.05).The emergency rescue time,emergency to definitive operation time,operation time,hospitalization time,body temperature recovery time,prothrombin time(PT)recovery time,activated partial thromboplastin time(APTT)recovery time and lactic acid recovery time in the observation group were shorter than those in the control group,and the intraoperative blood loss and blood transfusion volume were less than those in the control group(P<0.05).The satisfaction of the observation group was higher than that of the control group(P<0.05).After intervention,the Self-Rating Depression Scale(SDS),Self-Rating Anxiety Scale(SAS),Acute Physiology and Chronic Health EvaluationⅡ(APACHEⅡ)scores,heart rate(HR),systolic blood pressure(SBP)and diastolic blood pressure(DBP)in the observation group were lower than those in the control group,and the Glasgow Coma Scale(GCS)score was higher than that in the control group(P<0.05).Conclusion DCS concept applied in patients with emergency severe trauma can improve treatment effect,ameliorate negative emotions and improve satisfaction.

关 键 词：急诊 重症创伤 损伤控制性外科理念 

分 类 号：R473[医药卫生—护理学]