损伤控制外科技术在严重腹部创伤急救中的临床应用

Clinical application of injury control surgical technique to severe abdominal trauma emergency rescue

目的分析损伤控制外科技术在严重腹部创伤急救中的临床作用。方法将2014年3月—2016年11月期间收治的98例严重腹部创伤患者分为观察组和对照组,每组各49例;对照组行传统急救术,观察组接受损伤控制外科技术。记录、比较两组复苏前后的APACHEⅡ评分、体温、血氧饱和度、pH值、抢救成功率和并发症情况。结果对照组抢救成功率明显低于观察组(83.67%对95.92%,P<0.05),并发症发生率明显高于观察组(28.57%对12.24%,P<0.05)。复苏前两组APACHEⅡ评分、血氧饱和度、pH值、体温无差异;复苏后,观察组体温、血氧饱和度、pH值和APACHEⅡ评分均优于对照组(P<0.05)。结论损伤控制外科技术在严重腹部创伤急救中的疗效较好,并发症较少,值得临床推广。

Objective To analyze the clinical effect of injury control surgical technique to severe abdominal trauma emergency rescue.Methods A total of 98 patients with severe abdominal trauma admitted from March 2014 to November 2016 were divided into an observation group and a control group,with 49 cases in each group.The control group was given traditional emergency rescue technique,and the observation group received injury control surgical technique.APACHE II scores,body temperature,oxygen saturation,pH,successful rescue rate,and complications were recorded and compared before and after recovery between the two groups.Results The successful rescue rate of the observation group was higher than that of the control group(95.92%vs 83.67%,P<0.05).The complication rate of the observation group was lower than that of the control group(12.24%vs.28.57%,P<0.05).Before recovery,no differences in APACHE II score,oxygen saturation,pH,and body temperature were observed between the two groups.After recovery,body temperature,oxygen saturation,pH,and APACHE II score of the observation group were superior to those of the control group(P<0.05).Conclusion Injury control surgical technique for severe abdominal trauma emergency rescue has a better effect with less complications.Thus,it is worthy of clinical promotion.