损伤控制理论护理在急诊腹部外伤患者救治中的应用效果及对凝血功能的影响

Application effect of damage control theory nursing in emergency treatment of patients with abdominal trauma and its influence on coagulation function

目的探讨损伤控制理论护理在急诊腹部外伤患者救治中的应用效果。方法选择2020年1月至2022年12月本院收治的150例急诊腹部外伤患者为研究对象,根据随机数字表法将其分为甲组和乙组,各75例。甲组采用常规急诊护理,乙组在甲组基础上采用损伤控制理论护理。比较两组的护理效果。结果急救护理后,乙组的凝血酶原时间(PT)、活化部分凝血活酶时间(APTT)短于甲组(P<0.05)。急救护理后,乙组的急性生理与慢性健康评分Ⅱ(APACHEⅡ)、创伤严重度评分(ISS)评分低于甲组(P<0.05)。乙组的术后首次肛门排气时间、首次排便时间及恢复进食时间短于甲组,并发症总发生率低于甲组(P<0.05)。结论损伤控制理论护理可改善急诊腹部外伤患者的凝血功能及生理状况,减轻创伤程度,促进胃肠道功能恢复。

Objective To explore the application effect of damage control theory nursing in emergency treatment of patients with abdominal trauma.Methods A total of 150 patients with emergency abdominal trauma admitted in our hospital from January 2020 to December 2022 were selected as the research objects.According to the random number table method,the patients were divided into group A and group B,with 75 cases in each group.The group A was given routine emergency nursing,and the group B was given damage control theory nursing on the basis of the group A.The nursing effects of the two groups were compared.Results After emergency nursing,the prothrombin time(PT)and activated partial thromboplastin time(APTT)in the group B were shorter than those in the group A(P<0.05).After emergency nursing,the Acute Physiology and Chronic Health EvaluationⅡ(APACHEⅡ)and Injury Severity Score(ISS)scores of the group B were lower than those of the group A(P<0.05).The postoperative first anal exhaust time,first defecation time and recovery eating time of the group B were shorter than those of the group A,and the total incidence of complications was lower than that of the group A(P<0.05).Conclusion Damage control theory nursing can improve the coagulation function and physiological status of patients with emergency abdominal trauma,reduce the degree of trauma,promote the recovery of gastrointestinal function.