损伤控制理念治疗急诊多发伤伴骨折的临床效果  

Clinical Effect of Injury Control Concept in the Treatment of Emergency Multiple Injuries with Fractures

作　　者：钱良涛 Qian Liangtao(Tongren Dejiang County People's Hospital,Tongren 565200,Guizhou Province,China)

机构地区：[1]铜仁市德江县人民医院,贵州铜仁565200

出　　处：《中外医药研究》2024年第22期15-17,共3页JOURNAL OF CHINESE AND FOREIGN MEDICINE AND PHARMACY RESEARCH

摘　　要：目的:观察损伤控制理念治疗急诊多发伤伴骨折的临床效果。方法:选取2022年1月—2023年12月德江县人民医院收治的急诊多发伤伴骨折患者90例作为研究对象,按照随机数字表法分为对照组和观察组,各45例。对照组采用常规治疗,观察组在对照组的基础上采用损伤控制理念治疗。比较两组并发症发生率、恢复情况(ICU停留时间、乳酸消失时间、骨折愈合时间、住院时间、体温恢复正常时间)、血管凝血发生率、术中出血量及手术时间。结果:观察组并发症发生率低于对照组,差异有统计学意义(P=0.034)。观察组ICU停留时间、乳酸消失时间、骨折愈合时间、住院时间、体温恢复正常时间短于对照组,差异有统计学意义(P<0.05)。观察组血管凝血发生率低于对照组,差异有统计学意义(P=0.026)。观察组术中出血量少于对照组,手术时间短于对照组,差异有统计学意义(P<0.05)。结论:急诊多发伤伴有骨伤治疗中运用损伤控制理念,能够有效降低患者并发症发生率,提高患者恢复速度,使患者能够尽快康复。Objective:To observe the clinical effect of injury control concept in treating emergency multiple injuries with fractures.Methods:A total of ninety emergency patients with multiple injuries and fractures admitted to Dejiang County People's Hospital from January 2022 to December 2023 were selected as the study objects,and were divided into control group and observation group according to random number table method,with forty-five cases in each group.The control group was treated with conventional treatment,and the observation group was treated with injury control concept on the basis of the control group.The incidence of complications,recovery(ICU stay time,lactic acid disappearance time,fracture healing time,hospital stay,temperature return to normal time),incidence of vascular coagulation,intraoperative blood loss and operation time were compared between the two groups.Results:The complication rate of the observation group was lower than that of the control group,and the difference was statistically significant(P=0.034).The ICU stay time,lactic acid disappearance time,fracture healing time,hospitalization time and temperature return to normal time in observation group were shorter than those in control group,and the differences were statistically significant(P<0.05).The incidence of vascular coagulation in the observation group was lower than that in the control group,and the difference was statistically significant(P=0.026).The intraoperative blood loss and operation time in the observation group were shorter than those in the control group,and the difference was statistically significant(P<0.05).Conclusion:The application of the concept of injury control in the treatment of multiple injuries with bone injuries in emergency can effectively reduce the incidence of complications,improve the recovery speed of patients,and enable patients to recover as soon as possible.

关 键 词：损伤控制理念 急诊 多发伤 骨折 抢救成功率 

分 类 号：R687.3[医药卫生—骨科学]