损伤控制外科手术在急诊严重腹部创伤患者救治中的应用效果  

Effectiveness of the Application of Damage Control Surgery in the Emergency Treatment of Patients with Severe Abdominal Trauma

作　　者：唐海明 Tang Haiming(Department of Emergency Surgery,Suzhou Xiangcheng People's Hospital,Suzhou 215131,Jiangsu Province,China)

机构地区：[1]苏州市相城人民医院急诊外科,江苏苏州215131

出　　处：《中外医药研究》2023年第31期85-87,共3页JOURNAL OF CHINESE AND FOREIGN MEDICINE AND PHARMACY RESEARCH

摘　　要：目的:研究损伤控制外科手术在急诊重度腹部创伤患者中的应用效果。方法:选取2021年1月—2022年12月于苏州市相城人民医院急诊科收治的严重腹部创伤患者88例作为研究对象,随机分为对照组和观察组,各44例。对照组采用常规外科手术治疗,观察组采用损伤控制外科手术治疗。比较两组患者的住院时间、留置引流管时间、凝血酶原恢复时间、术后排气时间、体温恢复时间,术后并发症以及手术前后血压水平。结果:观察组住院时间、留置引流管时间、凝血酶原恢复时间、术后排气时间以及体温恢复时间均短于对照组,差异有统计学意义(P<0.001)。观察组术后并发症总发生率低于对照组,差异有统计学意义(P=0.011)。治疗前,两组收缩压(SBP)、舒张压(DBP)水平比较,差异无统计学意义(P>0.05);治疗后,两组SBP、DBP水平均降低,观察组低于对照组,差异有统计学意义(P<0.05)。结论:损伤控制外科手术在急诊重度腹部创伤患者中应用效果显著,能缩短恢复时间,并降低术后并发症发生率。Objective:To study the application effect of damage control surgery in the emergency treatment of patients with se⁃vere abdominal trauma.Methods:Eighty-eight patients with severe abdominal trauma admitted to the Department of Emergen⁃cy Surgery of Suzhou Xiangcheng People's Hospital from January 2021 to December 2022 were selected as the study subjects,and were randomly divided into the control group and the observation group,each with forty-four cases.The control group was treated with conventional surgery,and the observation group was treated with damage control surgery.The hospitalization time,indwelling drain time,prothrombin recovery time,postoperative expiration time,temperature recovery time,postoperative com⁃plications and pre-and post-operative blood pressure levels of the two groups were compared.Results:The observation group's hospitalization time,indwelling drain time,prothrombin recovery time,postoperative expiration time,and temperature recovery time were shorter than those of the control group,and the differences were statistically significant(P<0.001);The to⁃tal incidence of postoperative complications in the observation group was lower than that in the control group,and the differ⁃ence was statistically significant(P=0.011);Before treatment,the levels of systolic blood pressure(SBP)and diastolic blood pressure(DBP)in the two groups were compared,and the difference was not statistically significant(P>0.05);After treatment,the levels of SBP and DBP were reduced in both groups,and the observation group was lower than the control group,and the difference was statistically significant(P<0.05).Conclusion:The application of damage control surgery in patients with severe abdominal trauma in emergency medicine is effective,can shorten the recovery time,and reduce the incidence of postopera⁃tive complications.

关 键 词：损伤控制外科 手术 腹部 创伤 

分 类 号：R47[医药卫生—护理学]