基于损伤控制理论的精细化护理在不稳定型骨盆骨折合并多发伤患者中的应用  

Application of refined nursing based on damage control theory in patients with unstable pelvic fractures complicated with multiple injuries

作　　者：朱梓毓 刘畅 崔梅 李莹 ZHU Ziyu;LIU Chang;CUI Mei;LI Ying(The Affiliated Hospital of Xuzhou Medical University,Xuzhou,Jiangsu,221000,China)

机构地区：[1]徐州医科大学附属医院,江苏徐州221000

出　　处：《中西医结合护理(中英文)》2025年第1期77-80,共4页Journal of Clinical Nursing in Practice

摘　　要：目的考察基于损伤控制理论的精细化护理对不稳定型骨盆骨折合并多发伤患者预后的影响。方法选取2022年3月至2023年10月在徐州医科大学附属医院诊治的80例不稳定型骨盆骨折合并多发伤患者作为研究对象,采用随机数字表法分为对照组(40例)和观察组(40例)。对照组给予常规护理方法,观察组给予基于损伤控制理论的精细化护理。比较2组患者的住院等所用时间、生命体征各项指标、术后功能恢复情况及并发症发生率。结果观察组的住院时间、入院距确定性手术时间及手术时长均短于对照组,术中出血量少于对照组(P均<0.05)。入院后1 d和行确定性手术时,2组的pH值和体温均高于入院时,血清降钙素原(PCT)水平均低于入院时(P均<0.05),且观察组的pH值和体温均高于同一时间的对照组,血清PCT水平均低于同一时间的对照组(P均<0.05);2组在行确定性手术时的上述指标均优于入院后1 d(P均<0.05)。相比于对照组,观察组的术后功能恢复优良率更高,并发症总发生率更低(P均<0.05)。结论基于损伤控制理论的精细化护理能够有效加快不稳定型骨盆骨折患者行确定性手术的进程,减少术中出血量,缩短住院和手术时长,稳定生命体征,降低术后并发症发生率,改善术后骨折恢复状况。Objective To investigate the impact of refined nursing based on damage control theory on the prognosis of patients with unstable pelvic fractures complicated with multiple injuries.Methods Eighty patients with unstable pelvic fractures and multiple injuries treated at the Affiliated Hospital of Xuzhou Medical University from March 2022 to October 2023 were selected as the study subjects.They were randomly divided into a control group(40 cases)and an observation group(40 cases)using a random number table method.The control group received routine nursing methods,while the observation group received refined nursing based on damage control theory.The hospitalization time,vital signs,postoperative functional recovery,and incidence of complications of the two groups were compared.Results The length of hospital stay,the time from admission to definitive surgery,and duration of surgery in the observation group were all shorter than those in the control group,and the amount of intraoperative bleeding was less than that in the control group(all P<0.05).At one day after admission and during definitive surgery,the pH and body temperature of both groups were higher than those at admission,and the serum procalcitonin(PCT)levels of both groups were lower than those at admission(all P<0.05).Additionally,the pH and body temperature of the observation group were higher than those of the control group at the same time,and the serum PCT levels of the observation group were lower than those of the control group at the same time(both P<0.05).The above indicators of both groups during definitive surgery were better than those at one day after admission (all P <0. 05). Compared with the control group, the observation group had a higher rateof excellent postoperative functional recovery and a lower overall incidence of complications (both P <0. 05). Conclusion Refined nursing based on damage control theory can effectively accelerate theprocess of definitive surgery for patients with unstable pelvic fractures, reduce intraoperative bleedi

关 键 词：不稳定型骨盆骨折 多发伤 损伤控制理论 精细化护理 预后 

分 类 号：R473.6[医药卫生—护理学]