意外事故致腹部外伤的抢救手术护理要点  

Emergency Operation Nursing Points of Abdominal Trauma Caused by Accident

作　　者：陈琳[1] 姜秀琴[1] CHEN Lin;JIANG Xiuqin(Dalian central hospital,Dalian,Liaoning 116033)

机构地区：[1]大连市中心医院,辽宁大连116033

出　　处：《中国伤残医学》2024年第2期106-109,共4页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的:探讨对接受抢救手术治疗的意外事故致腹部外伤患者实施综合抢救护理的干预效果。方法:选取2019年6月-2021年12月我院收治的80例意外事故致腹部外伤患者为研究对象,按照随机数字表法将其分为研究组与参照组,各40例。研究组采用综合抢救护理,参照组采用常规抢救护理,比较2组术中出血量、手术用时、体温、心率、血压及术后手术切口愈合时间、伤口甲级愈合率、术后生存率、术后并发症发生率。结果:研究组术后生存率85.00%高于参照组的65.00%,差异有统计学意义(P<0.05);研究组术后并发症发生率5.00%低于参照组的20.00%,差异有统计学意义(P<0.05);研究组术中出血量少于对照组,手术用时与术后手术切口愈合时间均短于对照组,体温、心率、血压均低于对照组,组间差异有统计学意义(P<0.05);研究组伤口甲级愈合率高于参照组,差异有统计学意义(P<0.05)。结论:对接受抢救手术治疗的意外事故致腹部外伤患者实施综合抢救护理的效果较常规抢救护理更为理想,可以有效避免患者出现术后并发症,并提高患者的术后生存率,有必要在临床上大力推广及采纳。Objective:To explore the intervention effect of comprehensive rescue nursing on patients with abdominal trauma caused by accident who received rescue surgery.Methods:Eighty patients with abdominal trauma caused by accidents admitted to our hospital from June 2019 to December 2021 were selected as the research objects.According to the double-blind method,they were divided into the study group and the reference group,with 40 cases in each group.The study group was treated with comprehensive rescue nursing,and the reference group was treated with routine rescue nursing.The intraoperative blood loss,operation time,body temperature,heart rate,blood pressure,postoperative incision healing time,wound healing rate,postoperative survival rate,and postoperative complications were compared between the two groups.Results:The postoperative survival rate of the study group was 85.00%,which was higher than 65.00%of the reference group,and the difference was statistically significant(P<0.05).The incidence of postoperative complications in the study group was 5.00%,which was lower than 20.00%in the reference group,and the difference was statistically significant(P<0.05).The intraoperative blood loss of the study group was less than that of the control group,the operation time and postoperative surgical incision healing time were shorter than those of the control group,and the body temperature,heart rate and blood pressure were lower than those of the control group,the differences between the two groups were statistically significant(P<0.05).The wound healing rate of the study group was higher than that of the reference group,and the difference was statistically significant(P<0.05).Conclusion:The effect of comprehensive rescue nursing for patients with abdominal trauma caused by accident receiving rescue surgery is more ideal than that of conventional rescue nursing,which can effectively avoid postoperative complications and improve the survival rate of patients after surgery.It is necessary to promote and adopt it in clinical pra

关 键 词：抢救手术 意外事故 腹部外伤 综合抢救护理 护理效果 

分 类 号：R472.3[医药卫生—护理学]