分阶段损伤控制在骨科下肢毁损伤临床急救中的应用
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郑州大学附属第一医院

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Application of staged injury control in the clinical emergency treatment of lower extremity injury in orthopaedics department
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The First Affiliated Hospital of Zhengzhou University

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    【摘要】目的:探讨分阶段损伤控制在骨科下肢毁损伤患者临床急救中的应用价值。方法:116例下肢毁损伤患者根据急救方法的不同分为两组:对照组(52例)实施常规急救治疗,研究组(64例)根据损伤控制理论实施分阶段治疗。对比两组患者的抢救成功率、急救时间、并发症发生率、下肢功能恢复情况等。结果:研究组的抢救成功率明显高于对照组(96.88% vs 86.54%,P<0.05)。研究组患者的急救时间、ICU天数、平均住院时间均明显短于对照组(P<0.05),两组的出血量比较无显著性差异(P>0.05)。急救后1个月,研究组患者的肌力、屈伸度值均显著高于对照组,膝关节僵硬、局部肿胀、局部水泡发生率均限制低于对照组(P<0.05)。研究组的并发症总发生率显著低于对照组(4.69% vs 17.31%),家属对急救工作的总满意率显著高于对照组(98.44% vs 86.54%,P<0.05)。结论:在骨科下肢毁损伤患者的临床急救中实施分阶段损伤控制,能够有效控制损害,缩短急救时间,提高急救成功率,促进下肢功能恢复。

    Abstract:

    [Abstract] Objective: To explore the application value of staged injury control in the emergency treatment of patients with lower extremity injury in orthopaedics department. Methods: 116 patients with lower extremity injury were divided into two groups by the different emergency methods: the control group (n=52) received routine emergency treatment, and the study group (n=64) received staged treatment according to the injury control theory. The success rate, time of first aid, incidence of complications and recovery of lower limb function were compared between two groups. Results: The rescue success rate of the study group was significantly higher than that of the control group (96.88% vs 86.54%, P<0.05). The emergency time, ICU days and average hospitalization time of the patients in the study group were significantly shorter than control group (P<0.05), and there was no significant difference in the amount of bleeding between the two groups (P>0.05). One month after emergency treatment, the muscle strength, flexion and extension of the study group were significantly higher than control group, and the incidence of knee joint stiffness, local swelling and local blister were lower (P<0.05). The total incidence of complications in the study group was significantly lower than control group (4.69% vs 17.31%), and the total satisfaction rate of family members with first aid was significantly higher (98.44% vs 86.54%, P<0.05). Conclusion: Staged injury control can effectively control the injury, shorten the emergency time, improve the emergency success rate of patients with lower extremity injury, and promote the recovery of lower extremity function.

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  • 收稿日期:2020-09-16
  • 最后修改日期:2020-10-18
  • 录用日期:2020-10-23
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