简易外固定在多发性创伤伴骨折院前急救中的应用

Application of simple external fixation in pre-hospital emergency treatment of multiple trauma with fracture

目的分析简易外固定在多发性创伤伴骨折院前急救中的应用。方法140例接受抢救的多发性创伤伴骨折患者,根据抢救方法的不同分为常规组(采用常规抢救方式)和试验组(采用简易外固定联合常规抢救),每组70例。比较两组患者抢救前后的抑郁自评量表(SDS)、焦虑自评量表(SAS)、视觉模拟评分法(VAS)评分以及满意度、急救结果。结果抢救后,试验组患者SAS评分(40.37±2.57)分、SDS评分(41.76±2.50)分、VAS评分(1.98±0.52)分均低于常规组的(70.34±3.18)、(47.67±2.53)、(2.86±0.65)分(P<0.05)。试验组患者总满意度98.57%高于常规组的90.00%(P<0.05)。试验组症状改善率97.14%高于常规组的87.14%,再出血发生率1.43%、二次损伤发生率2.86%,均低于常规组的12.86%、18.57%(P<0.05)。结论多发性创伤伴骨折患者实施简易外固定可以有效改善患者疼痛问题,提高患者满意度,优化抢救结果,在临床中实践中可行性较高。

Objective To analyze the application of simple external fixation in pre-hospital emergency treatment of multiple trauma with fracture.Methods 140 patients with multiple trauma and fracture who received rescue were divided into a conventional group(using conventional rescue method)and an experimental group(using simple external fixation combined with conventional rescue)by different rescue methods,with 70 cases in each group.The self-rating depression scale(SDS),self-rating anxiety scale(SAS),visual analogue scale(VAS)score,patient satisfaction and first-aid effect were compared between the two groups before and after rescue.Results After rescue,the experimental group had SAS score of(40.37±2.57)points,SDS score of(41.76±2.50)points and VAS score of(1.98±0.52)points,which were lower than(70.34±3.18),(47.67±2.53)and(2.86±0.65)points in the conventional group(P<0.05).The total satisfaction of the experimental group was 98.57%,which was higher than 90.00%of the conventional group(P<0.05).The symptom improvement rate of 97.14%in the experimental group was higher than 87.14%in the conventional group;the experimental group had incidence of rebleeding of 1.43%and the incidence of secondary injury of 2.86%,which were lower than 12.86%and 18.57%in the conventional group(P<0.05).Conclusion Simple external fixation can effectively improve the pain of patients with multiple trauma and fracture,improve patient satisfaction,and optimize the rescue effect,which is highly feasible in clinical practice.