外固定支具固定院前急救对四肢骨折患者的效果分析

Effect Analysis of External Fixation with Brace Fixation on Patients with Limb Fracture in Pre-Hospital Emergency Treatment

目的:探析外固定支具固定在院前急救四肢骨折的效果.方法:选取我院2020年12月—2022年12月收治的70例院前急救四肢骨折患者作为研究对象,依据患者就诊尾号随机盲目法将其分为观察组和对照组,每组35例.对照组采用夹板固定方式,观察组采用外固定支具固定治疗方式.对比2组患者的舒适度、愈合时间、住院时间,治疗满意度、并发症发生情况、肢体功能及疼痛感等.结果:观察组舒适度评分高于对照组,愈合时间、住院时间均短于对照组,组间差异有统计学意义(P<0.05).观察组治疗满意度为97.14%,高于对照组的74.28%,并发症发生率为2.85%,低于对照组的22.85%,组间差异有统计学意义(P<0.05).干预前,2组肢体功能、疼痛感比较,组间差异无统计学意义(P>0.05);干预后,观察组肢体功能评分高于对照组,疼痛视觉模拟评分低于对照组,组间差异有统计学意义(P<0.05).结论:对于院前急救的四肢骨折患者,采取外固定支具固定干预模式效果更佳,具有固定舒适、固定部位不易脱滑等临床优势,有效减轻患者骨折疼痛感,同时促进骨折部位快速愈合,缩短住院诊疗时间,提高患者满意度.

Objective:To explore the effect of external fixation brace in pre-hospital emergency treatment of limb fracture.Methods:70 patients with pre-hospital emergency treatment for limb fracture admitted to our hospital from December 2020 to December 2022 were selected as the study objects,and were divided into an observation group and a control group according to the random blind method of patient visit number,with 35 cases in each group.The control group was fixed with splint,and the observation group was fixed with external fixation brace.The comfort level,healing time,hospital stay,treatment satisfaction,complications,limb function and pain were compared between the two groups.Results:The comfort score of the observation group was higher than that of the control group,and the healing time and hospitalization time were shorter than that of the control group,with statistical significance(P<0.05).The satisfaction of treatment in the observation group was 97.14%,which was higher than 74.28%in the control group,and the complication rate was 2.85%,which was lower than 22.85%in the control group,with statistical significance(P<0.05).Before intervention,there were no significant differences in limb function and pain perception between the two groups(P>0.05);after intervention,the limb function score of the observation group was higher than that of the control group,and the Visual Analogue Score of pain was lower than that of the control group,and the differences between the groups were statistically significant(P<0.05).Conclusion:For patients with limb fracture in pre-hospital emergency treatment,the external fixation support fixation intervention mode is more effective,with clinical advantages such as fixed comfort and fixed parts are not easy to slip,which effectively reduces the fracture pain of patients,promotes rapid healing of the fracture site,shorters the time of hospitalization and improves patient satisfaction.