严重创伤救治信息交互联动系统结合外固定架技术的救治模式在骨盆骨折中的应用  

Application of the National Information Interactive Linkage System for Severe Trauma Treatment combined with external fixator technology to the treatment of pelvic fractures

作　　者：张艳[1] 李春江[2] 安娜[2] 张志燕[3] 崔明武[3] 陈亮 ZHANG Yan;LI Chunjiang;AN Na(Operation Room,the Second Hospital of Tangshan,Hebei,Tangshan 063000,China)

机构地区：[1]河北省唐山市第二医院手术室,063000 [2]河北省唐山市第二医院急诊医学科,063000 [3]河北省唐山市第二医院院前急救科,063000

出　　处：《河北医药》2024年第24期3758-3762,共5页Hebei Medical Journal

基　　金：河北省医学科学研究指导性课题(编号:20231735)。

摘　　要：目的探讨“全国严重创伤救治信息交互联动系统”结合外固定架技术的救治模式在骨盆骨折急救中的临床效果。方法采用回顾性对照性研究方法,选取2021年5月至2023年4月救治的114例骨盆骨折患者作为研究对象。根据“全国严重创伤救治信息交互联动系统(紫云急诊室)”联合外固定架固定救治应用的时间节点,将严重骨盆骨折患者分为观察组与对照组:其中2021年5月至2022年4月采用常规院前急救配合绿色通道技术进行救治的55例骨盆骨折患者为对照组,2022年5月至2023年4月采用“全国严重创伤救治信息交互联动系统(紫云急诊室)”结合外固定架技术救治的59例骨盆骨折患者为观察组。对照组患者采用常规救治模式,患者经过院前急救救治-急诊室救治-收入科室救治,待病情平稳后,向手术室提出申请后再进行手术;观察组采用“全国严重创伤救治信息交互联动系统(紫云急诊室)”结合外固定架技术在急诊手术室早期急诊给予骨盆固定,患者在院前急救中即通过“全国严重创伤救治信息交互联动系统(紫云急诊室)”与院内骨盆救治小组联系,实现上车即入院,院前与院内救治一体化。结果共纳入114例骨盆骨折患者,对照组55例,其中男33例,女22例;年龄(40.96±13.47)岁。观察组59例,其中男36例,女23例;年龄(40.85±12.24)岁。2组患者的年龄、性别比、受伤机制及在救治前RTS评分比较,差异均无统计学意义(P>0.05)。与对照组相比,观察组收缩压、舒张压、血红蛋白更高,休克指数、血小板、红细胞压积与乳酸值更低(P<0.05)。观察组患者的呼叫至转运至急诊时间,急诊至放射科出片时间,急诊至入科时间及入院至治疗时间均明显短于对照组(P<0.01)。观察组患者的临床救治总有效率为96.6%,对照组有效率为85.5%,观察组的治疗效果明显升高(P<0.05)。救治后2组RTS评分均提高,观察组明显高于�Objective To investigate the clinical effect of the National Information Interactive Linkage System for Severe Trauma Treatment combined with external fixator technology on the rescue of pelvic fractures.Methods It was a retrospective control study involving 114 patients with pelvic fractures treated from May 2021 to April 2023.Fifty-five patients with pelvic fractures who were treated with routine pre-hospital emergency treatment combined with green channel technology from May 2021 to April 2022 were selected as the control group,and 59 patients with pelvic fractures who were treated by the National Information Interactive Linkage System for Severe Trauma Treatment(Ziyun Emergency Room)combined with external fixator technology from May 2022 to April 2023 were selected as the observation group.Results A total of 114 patients with pelvic fractures were included.Among 55 cases in the control group,there were 33 males and 22 females,with a mean age of(40.96±13.47)years.There were 59 cases in the observation group,including 36 males and 23 females,with a mean age of(40.85±12.24)years.There were no significant differences in the age,gender,injury mechanism and pre-treatment Revised Trauma Score(RTS)between the two groups(P>0.05).Compared with those of control group,patients in the observation group had significantly higher systolic blood pressure,diastolic blood pressure,and hemoglobin,but lower shock index,hematocrit count,platelet count and lactic acid(P<0.05).The receipt-to-patient access to the emergency interval,emergency-to-radiological finding interval,emergency-to-patient access to the ward interval,and admission-to-treatment interval were significantly shorter in the observation group than those of control group(P<0.01).The total effective rate of clinical treatment was significantly higher in the observation group than the control group(96.6%vs 85.5%,P<0.05).After treatment,the RTS in both groups was significantly increased,which was significantly higher in the observation group than the control group(P<0.

关 键 词：全国严重创伤救治信息交互联动系统 骨盆骨折 外固定架 抢救成功率 

分 类 号：R683.3[医药卫生—骨科学]