损伤控制骨科理论在严重多发性损伤伴骨折患者临床护理中的应用研究

Application of Damage Control Orthopaedic Theory in Clinical Nursing of Severe Multiple Injuries with Fractures

目的:探讨损伤控制骨科理论在严重多发性损伤伴骨折患者临床护理中的应用效果。方法:选取2016年5-11月创伤骨科收治的49例严重多发性损伤伴骨折患者为常规组,按常规流程实施救治措施;选取2017年2-8月创伤骨科收治的49例严重多发性损伤伴骨折患者为干预组,以损伤控制骨科理论为指导,对患者的护理流程进行干预。对2组患者院内死亡率、治疗有效率以及并发症的发生率等临床护理效果进行比较。结果:干预组患者的院内死亡率2.04%、并发症的发生率4.08%均明显低于常规组16.33%及20.41%;治疗有效率97.92%则明显高于常规组85.37%,差异具有统计学意义(P<0.05)。结论:以损伤控制骨科理论为指导的护理干预策略的有效实施,可以显著提高严重多发性损伤伴骨折患者的治疗有效率,降低院内死亡率,控制并发症的发生率。

[Objective]To explore the application effect of damage control orthopaedic theory in clinical nursing of patients with severe multiple injury and fracture.[Method]Forty-nine patients with severe multiple injuries and fractures admitted to orthopaedic trauma department from May to November 2016 were randomly selected as the routine group and were treated with routine process.Forty-nine patients with severe multiple injuries and fractures admitted to orthopaedic trauma department from February to August 2017 were randomly selected as intervention group.Guided by the theory of damage control department of orthopedics,the patients'treatment and nursing process were intervened in intervention group.The hospital mortality rate,treatment efficiency and the incidence of complications of the two groups were compared and analyzed.[Result]The hospital mortality rate and complication rate of intervention group were 2.04%and 4.08%/respectively,which were lower than those of routine group(16.33%and 20.41%).The effective rate of treatment was 97.92%/which was significantly higher than that of routine group(85.37%)and the difference was statistically significant(P<0.05).[Conclusion]Effective implementation of nursing intervention strategy guided by damage control orthopaedics theory.It can significantly improve the treatment efficiency of patients with severe multiple injuries and fractures,reduce hospital mortality,control the incidence of complications.