损害控制护理对急诊重症全身多处骨折患者疼痛及预后的影响

Effect of Damage Control Nursing on Pain and Prognosis of Emergency Patients with Severe Systemic Multiple Fractures

目的:探讨损害控制护理对急诊重症全身多处骨折患者疼痛及预后的影响.方法:选择内蒙古自治区人民医院2021年2月—2023年1月急诊收治的80例重症全身多处骨折患者为研究对象,按随机数字表法将其分为对照组与观察组,各40例.对照组采用常规护理,观察组在对照组基础上采用损害控制护理.对比2组临床临床疗效、健康状况及疼痛程度、代谢指标、并发症发生情况.结果:观察组治疗总有效率为97.50%,高于对照组的82.50%,差异有统计学意义(P<0.05).护理7 d后,观察组急性生理学与慢性健康状况评分、视觉模拟评分均低于对照组,组间差异有统计学意义(P<0.05).观察组血乳酸低于对照组,中心静脉血氧饱和度高于对照组,组间差异有统计学意义(P<0.05).观察组并发症总发生率低于对照组,差异有统计学意义(P<0.05).结论:急诊重症全身多处骨折患者采用损害控制护理,可显著改善患者预后,缓解其疼痛,降低血乳酸含量,降低患者并发症发生率.

Objective:To investigate the effect of damage control nursing on pain and prognosis of emergency patients with severe systemic multiple fractures.Methods:A total of 80 patients with severe multiple systemic fractures admitted to the emergency department of the People's Hospital of Inner Mongolia Autonomous Region from February 2021 to January 2023 were selected as the study objects,and were divided into control group and observation group according to random number table method,with 40 cases in each group.The control group received routine nursing,and the observation group received damage control nursing based on the control group.The clinical efficacy,health status,pain degree,metabolic indexes and complications of the two groups were compared.Results:The total effective rate of the observation group was 97.50%,higher than that of the control group(82.50%),and the difference was statistically significant(P<0.05).After 7 days of nursing,the acute physiology and chronic health status scores and visual analog scores of the observation group were lower than those of the control group,and the differences between the groups were statistically significant(P<0.05).The blood lactic acid of the observation group was lower than that of the control group,and the blood oxygen saturation of the central vein was higher than that of the control group,and the differences were statistically significant(P<0.05).The incidence of complications in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion:The use of damage control nursing in emergency patients with multiple systemic fractures can significantly improve the prognosis of patients,relieve their pain,reduce blood lactic acid content,and reduce the incidence of complications.