骨科损伤控制在不稳定骨盆骨折合并四肢多发骨折治疗中的应用价值

Application Value of Orthopedic Injury Control in Treatment of Unstable Pelvic Fractures with Multiple Limb Fractures

目的:探究骨科损伤控制在不稳定骨盆骨折合并四肢多发骨折治疗中的应用价值。方法:选取2011年2月-2021年11月如皋博爱医院收治的68例不稳定骨盆骨折合并四肢多发骨折患者为研究对象,采取抽签分组的方式分为观察组与对照组,各34例。对照组采用常规治疗方法,观察组采用骨科损伤控制治疗干预方法。比较两组患者治疗效果、生活质量、并发症发生率及手术指标。结果:观察组治疗优良率高于对照组,差异有统计学意义(P=0.015)。治疗前,两组物质生活、心理功能、躯体功能、社会功能评分比较,差异无统计学意义(P>0.05);治疗后,观察组物质生活、心理功能、躯体功能、社会功能评分均高于对照组,差异有统计学意义(P<0.001)。观察组并发症发生率低于对照组,差异有统计学意义(P=0.011)。观察组手术时间、住院时间短于对照组,术中出血量少于对照组,差异有统计学意义(P<0.001)。结论:在不稳定骨盆骨折合并四肢多发骨折患者治疗中实施骨科损伤控制干预,可提升患者治疗效果,降低并发症发生率,提升患者生活质量,使患者治疗时间缩短、术中出血量减少,值得予以推广。

Objective:To explore the application value of orthopedic injury control in the treatment of unstable pelvic fractures with multiple limb fractures.Methods:A total of 68 patients with unstable pelvic fractures combined with multiple limb fractures who were admitted to Rugao Boai Hospital from February 2011 to November 2021 were selected as the study subjects,and they divided into control group and observation group according to the method of drawing lots,with 34 cases in each group.The control group received conventional treatment methods,and the observation group received orthopedic injury control treatment intervention method.The treatment effect,quality of life,incidence of complications and operation index of patients in two groups were compared.Results:The excellent and good treatment rate in the observation group was higher than that in the control group,and the difference was statistically significant(P=0.015).Before treatment,there was no significant difference in the scores of material life,psychological function,physical function and social function between two groups(P>0.05);After treatment,the scores of material life,psychological function,physical function and social function in the observation group were higher than those in the control group,and the difference was statistically significant(P<0.001).The incidence of complications in the observation group was lower than that in the control group,and the difference was statistically significant(P=0.011).The operation time and hospital stay in the observation group were shorter than those in the control group,and intraoperative blood loss in the observation group was less than that in the control group,and the difference was statistically significant(P<0.001).Conclusion:The implementation of orthopedic injury control intervention in the treatment of patients with unstable pelvic fractures with multiple limb fractures can improve the treatment effect of patients,reduce the incidence of complications,improve the quality of life,shorten the treatment time and reduce intraoperative blood loss of patients.It is worth promoting.