创伤性连枷胸合并多发伤患者应用损伤控制外科理念护理的效果

Effect of Nursing of Damage Control Surgery for Patients with Traumatic Flail Chest Complicated with Multiple Trauma

目的探讨创伤性连枷胸合并多发伤患者应用损伤控制外科理念护理的效果。方法以我院2011年7月至2015年8月间收治的90例创伤性连枷胸合并多发伤患者为研究对象,随机分为两组各45例。对照组患者入院立即实施肋骨内固定术与急诊手术进行治疗,观察组患者采用损伤控制外科理念进行医疗护理,比较两组患者的呼吸频率、血氧分压(Pa O2)、氧合指数(OI)、ICU治疗时间、住院时间。结果观察组患者的呼吸频率显著低于对照组,Pa O2与OI值显著高于对照组,ICU治疗时间与住院时间均显著短于对照组,差异有统计学意义(P<0.05)。结论应用损伤控制外科理念可以有效地改善创伤性连枷胸合并多发伤患者的呼吸功能,缩短患者的ICU治疗时间与住院时间,值得应用与推广。

Objective To explore the effect of nursing of damage control surgery for patients with traumatic flail chest complicated with multiple trauma. Methods A total of 90 cases of patients with traumatic flail chest complicated with multiple trauma admitted to our hospital from July 2011 to A ugust 2015 were selected and randomly divided into two groups, with 45 cases in each group. The control group received internal fixation of ribs and emergency surgery at the time of admission, while the observation group was given nursing of damage control surgery. The respiratory rate, PaO_2, oxygenation index（OI）, duration of ICU treatment and length of hospital stay were compared between two groups. Results The respiratory rate of observation group was significantly lower than that of control group, the PaO_2 and OI were significantly higher than those of control group, and the duration of ICU treatment and length of hospital stay were significantly shorter than those of control group（P〈0.05）. Conclusions Nursing of damage control surgery can effectively improve the respiratory function of patients with traumatic flail chest complicated with multiple trauma, and shorten the duration of ICU treatment and length of hospital stay.