损伤控制外科手术在急诊严重腹部创伤救治中的运用效果评价  

Evaluation of the Effect of Damage Control Surgery in Emergency Treatment of Severe Abdominal Trauma

作　　者：郭美祥 宫秀美[2] GUO Meixiang;GONG Xiumei(Zibo Zhoucun District People's Hospital,Zibo,Shandong Province,255300 China;Laizhou People's Hospital,Yantai,Shandong Province,261400 China)

机构地区：[1]淄博市周村区人民医院,山东淄博255300 [2]莱州市人民医院,山东烟台261400

出　　处：《中外医疗》2023年第36期62-65,共4页China & Foreign Medical Treatment

摘　　要：目的 探讨损伤控制外科手术应用在急诊严重腹部创伤救治中的疗效。方法 选取2022年4月—2023年4月淄博市周村区人民医院收治的72例急诊严重腹部创伤患者为研究对象,依据奇偶分组法分为参照组和研究组,各36例。参照组采取常规手术方案,研究组采取损伤控制外科手术模式。比较两组患者的体征指标、应激反应指标、临床疗效等。结果 治疗后,研究组血氧饱和度、体温数据水平比参照组高,差异有统计学意义(P均<0.05)。治疗后,研究组去甲肾上腺素、皮质醇指标水平低于参照组,差异有统计学意义(P<均0.05)。研究组并发症发生率为2.78%,低于参照组的19.44%,差异有统计学意义(χ^(2)=5.062,P<0.05)。结论应用损伤控制外科手术,对提高急诊严重腹部创伤救治成功率具有重要价值。此种手术模式还可减轻患者的应激反应,加快其体征恢复速度,从而确保手术顺利开展。Objective To investigate the effect of damage control surgery in emergency treatment of severe abdominal trauma.Methods 72 patients with severe abdominal trauma admitted to Zibo Zhoucun District People's Hospital from April 2022 to April 2023 were selected as the study subjects.They were divided into a control group and a study group using the odd even grouping method,with 36 cases in each group.The reference group adopted the conventional surgical plan,while the research group adopted the damage control surgery mode.The physical signs,stress response and clinical efficacy of the two groups were compared.Results After treatment,the levels of blood oxygen saturation and body temperature in the study group were higher than those in the control group,and the differences were statistically significant(both P<0.05).After treatment,the levels of norepinephrine and cortisol in the study group were lower than those in the control group,and the differences were statistically significant(both P<0.05).The incidence of complications in the study group was 2.78%,lower than the control group's 19.44%,and the difference was statistically significant(χ^(2)=5.062,P<0.05).Conclusion The application of damage control surgery is of great value in improving the success rate of emergency treatment of severe abdominal trauma.This mode of operation can also reduce the stress response of patients and speed up the recovery of their physical signs,so as to ensure the smooth operation.

关 键 词：急诊 严重腹部创伤 损伤控制外科手术 救治效果 

分 类 号：R5[医药卫生—内科学]