损伤控制在急诊救治骨盆骨折合并多发骨折中的应用效果分析

Analysis of application of injury control in emergency treatment of pelvic fracture complicated with multiple fractures

目的探讨损伤控制对于急诊救治骨盆骨折合并多发骨折的临床效果。方法52例骨盆骨折合并多发骨折患者,按照随机数字表法分为参照组和观察组,每组26例。参照组给予常规急救疗法,观察组给予骨科损伤控制治疗。对比两组患者骨盆功能、骨折复位情况、并发症发生率以及存活率。结果观察组患者存活率100.00%、Majeed评分(89.26±8.57)分均高于参照组的84.62%、(74.21±8.21)分,差异均具有统计学意义(P<0.05)。观察组骨折复位优良率84.62%显著高于参照组的57.69%,差异具有统计学意义(P<0.05)。观察组患者并发症发生率19.23%显著低于参照组的76.92%,差异具有统计学意义(P<0.05)。结论对于骨盆骨折合并多发骨折的急救处理,损伤控制可显著提升患者存活率,减少并发症,提升患者预后,可进一步推广运用。

Objective To discuss the clinical effect of injury control in emergency treatment of pelvic fracture complicated with multiple fractures.Methods A total of 52 cases of pelvic fracture complicated with multiple fractures were divided into control group and observation group by random number table method,with 26 cases in each group.The control group was treated by conventional emergency therapy,and the observation group was treated by orthopedic injury control.The pelvic function,fracture reduction,occurrence of complications,and survival rate were compared between the two groups.Results The survival rate and Majeed score of the observation group were 100.00%and(89.26±8.57)points,which were all higher than those of the control group 84.62%and(74.21±8.21)points,and the difference was statistically significant(P<0.05).The excellent-good rate of fracture reduction of the observation group was 84.62%,which was significantly higher than that of the control group 57.69%,and the difference was statistically significant(P<0.05).The incidence of complications of the observation group was 19.23%,which was significantly lower than that of the control group 76.92%,and the difference was statistically significant(P<0.05).Conclusion For the emergency treatment of pelvic fracture complicated with multiple fractures,injury control can significantly improve the survival rate,reduce complications and improve the prognosis of patients,which can be further popularized.