120院前急救结合院内救治损伤控制策略在多发伤并骨盆骨折中的应用价值分析

Analysis of the application value of 120 prehospital emergency care combined with in-hospital damage-control strategy in multiple injuries with pelvic fracture

目的探讨120院前急救结合院内救治损伤控制策略在多发伤并骨盆骨折中的应用价值。方法80例多发伤并骨盆骨折患者,采用随机数字表法分为观察组及对照组,每组40例。对照组给予常规救治,观察组给予120院前急救结合院内救治损伤控制策略。比较两组患者救治效果、骨折复位效果、生活质量评分、并发症发生情况、满意度评分。结果观察组救治成功率100.00%高于对照组的90.00%,死亡率0低于对照组的10.00%(P<0.05)。观察组骨折复位后移位距离≤1 mm、>1 mm且≤3 mm、>3 mm占比分别为90.00%、7.50%、2.50%,对照组分别为35.00%、40.00%、25.00%,观察组骨折复位后移位距离短于对照组(P<0.05)。观察组社会功能、生理功能、情感职能、生理职能、精神健康、活力、总体健康、躯体疼痛评分均高于对照组(P<0.05)。观察组并发症发生率为2.50%,低于对照组的15.00%(P<0.05)。观察组对沟通情况、应急处理、急救秩序、病区管理、临床操作满意度评分分别为(94.11±0.98)、(95.32±0.99)、(95.98±1.03)、(96.01±1.02)、(97.12±0.91)分,高于对照组的(88.25±1.03)、(85.52±1.06)、(86.93±1.43)、(90.11±1.27)、(91.03±1.12)分(P<0.05)。结论120院前急救结合院内救治损伤控制策略对多发伤并骨盆骨折患者的治疗效果十分理想,能够提高救治效果、骨折复位效果、生活质量、满意度,减少并发症发生,值得推广应用。

Objective To explore the application value of 120 prehospital emergency care combined with in-hospital damage-control strategy in multiple injuries with pelvic fracture.Methods 80 patients with multiple injuries and pelvic fractures were divided into an observation group and a control group by random number table method,with 40 cases in each group.The control group was given routine treatment,and the observation group was given 120 prehospital emergency care combined with in-hospital damage-control strategy.The rescue effect,fracture reduction effect,quality of life score,complications and satisfaction score were compared between the two groups.Results The rescue success rate of 100.00%in the observation group was higher than 90.00%in the control group,and the mortality rate of 0 was lower than 10.00%in the control group(P<0.05).The percentage of displacement distance after fracture reduction≤1 mm,>1 mm and≤3 mm,and>3 mm in the observation group were 90.00%,7.50%,and 2.50%,and those in the control group were 35.00%,40.00%,and 25.00%;and the distance of displacement after fracture reduction in the observation group was shorter than that in the control group(P<0.05).The scores of social function,physical function,emotional function,physical function,mental health,vitality,general health,and somatic pain in the observation group were higher than those in the control group(P<0.05).The complication rate of 2.50%in the observation group was lower than 15.00%in the control group(P<0.05).The satisfaction scores for communication situation,emergency treatment,emergency order,ward management,and clinical operation were(94.11±0.98),(95.32±0.99),(95.98±1.03),(96.01±1.02),and(97.12±0.91)points in the observation group,which were higher than(88.25±1.03),(85.52±1.06),(86.93±1.43),(90.11±1.27),and(91.03±1.12)points in the control group(P<0.05).Conclusion 120 pre-hospital emergency care combined with in-hospital damage-control strategy has ideal therapeutic effect on patients with multiple injuries and pelvic fractures,which can improve the rescue effect,fracture reduction effect,quality of life,satisfaction,and reduce the occurrence of complications,and is worthy of promotion and application.