改良型外固定支具在院前急救急性创伤患者的疗效观察

Observation of the treatment effect of modified external fixation brace on emergency pre-hospital acute trauma patients

目的通过对比应用传统外固定器材和改良型外固定支具救治院前急性创伤患者的临床疗效和预后,为院前创伤急救探求一种新方案。方法回顾性分析石家庄市急救中心自2018年6月至2018年12月救治的195例急性创伤患者,将其分为传统外固定器材组(n=98)和改良型外固定支具组(n=97),分别在救治现场和转运途中,对两组的一般资料、现场外固定所需时间、疼痛评分、患者满意度和外固定牢靠度等情况进行统计学对比和分析。结果改良型外固定支具组的现场外固定所需时间[(143±27)s]、疼痛评分[(1.8±0.4)分]、患者满意度(100%)、外固定牢靠度(100%)均优于传统外固定器材组[(301±32)s、(2.8±0.8)分、57%、80.6%,均(P<0.05)]。结论在院前急救急性创伤患者时,选用改良型外固定支具可明显缩短现场外固定操作所需时间,有效缓解疼痛,外固定牢靠,确保患者在院前急救过程中伤情无加重,切实避免了因操作不当所致的人为伤害或二次损伤,从而提高急性创伤患者在院前救治转运过程中的安全性,为后续院内救治赢得时间和奠定基础,同时提升患者满意度,值得在院前急救急性创伤患者的工作中推广和应用。

Objective To compare the application of traditional external fixation equipment and modified external fixation brace in the treatment of pre-hospital acute trauma patients in clinical efficacy and prognosis,and finally find a new scheme for pre-hospital trauma emergency treatment.Methods A retrospective analysis of 195 patients with acute trauma treated from June 2018 to December 2018 in the Shijiazhuang Emergency Center was divided into the traditional external fixation device group(n=98)and the modified external fixation brace group(n=97),statistical comparison and analysis was made on the general data of the two groups,the time required for external fixation,pain score,patient satisfaction,and external fixation reliability.Results The time required for external fixation in the modified external fixation brace group[(143±27)s],pain score[(1.8±0.4)pots],patient satisfaction(100%),external fixation reliability(100%)are better than the traditional external fixation equipment group[(301±32)s,(2.8±0.8)minutes,57%,80.6%,all P<0.05].Conclusions When facing pre-hospitalizing acute trauma patients,the use of modified external fixation braces can significantly shorten the time for external fixation at first aid,effectively relieve pain,and secure external fixation to ensure that the patient's injury is not worse during the pre-hospital emergency treatment.It has effectively avoided man-made injuries or secondary injuries caused by improper operation,thereby improving the safety of patients with acute trauma in the pre-hospital treatment and transportation process,winning time and laying the foundation for subsequent in-hospital treatment,and im proving patient sat-isfaction.Popularization and application of pre-hospital emergency trauma patients.