损伤控制理论在不稳定型骨盆骨折合并多发伤患者中的干预效果

Intervention eff ect of damage control theory in the unstable pelvic fracture patients with multiple injuries

目的探讨不稳定型骨盆骨折合并多发伤患者干预中引入损伤控制理论的效果。方法选择2019年10月—2020年10月医院收治的不稳定型骨盆骨折合并多发伤患者104例,按照组间基本特征均衡可比的原则分为对照组和观察组,各52例。对照组行常规干预及护理,观察组在此基础上引入损伤控制理论干预并在护理中严格落实损伤控制理论。比较两组骨折复位质量、手术情况、术后功能恢复效果、并发症发生率及病死率。结果观察组骨折复位效果优于对照组(P<0.05);观察组入院距确定性手术时间、确定性手术时长、体温恢复时间、骨折愈合时间均短于对照组(P<0.05),术中出血量、输血量少于对照组(P<0.05);观察组术后功能恢复优于对照组(P<0.05);观察组术后并发症发生率低于对照组(P<0.05)。结论不稳定型骨盆骨折合并多发伤患者干预中引入损伤控制理论可改善患者手术情况,促进骨折复位及术后功能恢复,减少并发症和死亡发生。

Objective To explore the effect of introducing damage control theory into the intervention of patients with unstable pelvic fractures complicated by multiple injuries.Methods A total of 104 patients with unstable pelvic fractures combined with multiple injuries who were admitted to the hospital from October 2019 to October 2020 were selected and divided into a control group and an observation group according to the principle of balance and comparability of basic characteristics between groups,with 52 cases in each group.The control group was given routine intervention and nursing,while the observation group was given damage control theory intervention and strictly implemented damage control theory in nursing.The quality of fracture reduction,surgical conditions,eff ect of postoperative functional recovery,complication rate and mortality were compared between the two groups.Results The eff ect of fracture reduction in the observation group was better than that in the control group(P<0.05).The defi nite operation time,defi nite operation time,body temperature recovery time and fracture healing time in the observation group were shorter than those in the control group(P<0.05),and the intraoperative blood loss and blood transfusion were less than those in the control group(P<0.05).The postoperative functional recovery in the observation group was better than that in the control group(P<0.05).The postoperative complication rate in the observation group was lower than that in the control group(P<0.05).Conclusion The introduction of damage control theory into the intervention of patients with unstable pelvic fractures with multiple injuries can improve the surgical conditions of patients,promote fracture reduction and postoperative functional recovery,and reduce complications and death.