骨科损伤防控理论在骨盆骨折护理中的应用效果

The clinical effects of damage control orthopaedics in pelvic fracture nursing

目的研究骨科损伤防控在骨盆骨折护理当中的临床效果。方法骨盆骨折患者120例,采取随机建组的方式分为研究组和对照组,每组60例。研究组患者采用损伤防控理论进行护理,对照组患者采用骨科常规急诊护理,将2组患者病死率、骨折复位优良率、骨盆损伤量化评估体系(Majeed)功能评分及术后并发症发生率进行比较和分析。结果研究组患者的病死率低于对照组,差异均有统计学意义(P<0.05);骨折复位优良率、术后并发症发生率Majeed评分明显高于对照组患者,差异均有统计学意义(P<0.05)。结论在骨盆骨折患者的护理中应用骨科损伤防控理论的临床效果较好,降低了患者的病死率,且并发症发生率明显降低,可加快患者术后康复并提高患者生活质量,值得在临床护理当中推广。

Objective To investigate the clinical effects of damage control orthopaedics(DCO)in pelvic fracture nursing.Methods A total of 120 patients with pelvic fracture who were treated in our hospital from October 2013 to October 2019 were enrolled in the study,who were randomly divided into research group and control group,with 60 cases in each group.The patients in research group were treated according to DCO,and the patients in control group were treated by orthopedic routine emergency care.The mortality rate,the good/excellent rate of fracture reduction,the function scores of Majeed and the incidence rate of postoperative complications were observed and compared between the two groups.Results The mortality rate in research study group was 0,which was significantly lower than that[6.7%(4/60)]in control group(P<0.05).And the good/excellent rate of fracture reduction in research group was 85%(51/60),which was significantly higher than that[46.7%(28/60)]in control group(P<0.05).Moreover the Majeed scores in research group were(87.3±3.1)points,which were significantly higher than those(73.3±2.6)points in control group(P<0.05).In addition the incidence rate of postoperative complications in research group was 8.3%(5/60),which was significantly lower than that[41.7%(25/60)]in control group(P<0.05).Conclusion The application of orthopedic injury prevention and control theory in the nursing of patients with pelvic fracture has a good clinical effect,which can reduce the mortality of patients,and significantly reduce the incidence of complications,and can speed up the postoperative recovery of patients and improve the life quality of patients,thus,which is worth promoting in clinical nursing.