损伤控制理念应用于骨盆骨折患者27例分析

Analysis on injury control concept applied to 27 patients with pelvic fracture

目的 评价创伤控制理念应用于骨盆骨折院前急救和后续治疗的效果。方法 连续收集2019年1月-2021年5月未应用损伤控制理念的骨盆骨折患者27例为对照组;2021年5月-2022年11月应用损伤控制理念的骨盆骨折患者27例为研究组,均给予常规骨科医护,研究组按损伤控制理念强化管理,对比疗效和满意度的组间差异。结果 研究组综合满意率高于对照组(92.59%VS 70.37%,P<0.05);生活质量和机能改善指标SAS、SDS、VAS、ESCA、SF-36均显著优于对照组。研究组不良反应发生率明显低于对照组(11.11%VS 37.04%,P<0.05)。结论 骨科损伤控制理论应用于骨盆骨折患者,可显著提升院前急救和院内干预的疗效、安全性和患者满意度,改进康复效果,有助于贯彻循证医护,彰显以人为本,值得推广。

Objective To evaluate the effect of trauma control concept applied to prehospital emergency and subsequent treatment of pelvic fractures.Methods From January 2019 to May 2021,27 patients with pelvic fractures who did not apply injury control concept were continously collected as the control group,all were given routine orthopedic care.The study group strengthened management according to the concept of injury control,and compared the differences in efficacy and satisfaction between the groups.Results The overall satisfaction rate of the study group was higher than that in control group(92.59%VS 70.37%,P<0.05);Quality of life and functioning improvement indicators,SAS,SDS,VAS,ESCA and SF-36 were significantly better than those in control group.The incidence of adverse reactions in the study group was significantly lower than that of the control group(11.11%VS 37.04%,P<0.05).Conclusions The application of orthopedic injury control theory to patients with pelvic fracture can significantly improve the efficacy,safety and patient satisfaction of pre-hospital first aid and in-hospital intervention,improve the rehabilitation effect,help to the implementation of evidence-based medical care,and highlight the people-oriented,which is worthy of promoting.