摘要
目的探讨损伤控制理论在多发伤及不稳定型骨盆骨折急救中的应用效果。方法回顾性分析不稳定或多发伤骨盆骨折86例患者的临床资料。按照在急救中应用损伤控制理论的时间为界限，将所有患者分为观察组和对照组，各43例。分析两组患者的术后骨折恢复情况、病死率、并发症发生率及远期Cole疗效评分等。结果观察组患者的骨折复位优良率81．0％，术后病死率及并发症发生率分别为2．3％和13．9％，远期Cole疗效评分（34．5±9．1）分；对照组患者的骨折复位优良率61．5％，术后病死率及并发症发生率分别为9．3％和25．6％，远期Cole疗效评分（29．4±8．3）分；两组比较差异有统计学意义（P〈O．05）。结论在不稳定型或多发伤骨盆骨折急救中应用损伤控制理论，不仅能够有效提升患者术后骨折恢复质量，同时还能有效减少和降低该类骨盆骨折患者的病死率和术后并发症发生率，其远期疗效满意，值得临床推广应用。
Objective To evaluate the effect of damage control used in multiple injuries or unstable pelvic fractures emergency treatment. Methods Retrospective analysis was done in 86 cases with multiple injuries or unstable pelvic fractures. According to the time for application of damage control theory in emergency treatment, patients were divided into observation group and control group, 43 cases in each group. Comparative analysis was applied to the fracture recovery, fatality rate, complication rate, long-term Cole efficacy score and other indicators of two groups. Results In the observation group, the good and excellent rate of fracture reduction were 81%, fatality rate and complication rate were 2.3% and 13.9%, long-term Cole score was （ 34.5 ± 9.1 ） point; in the control group, the good and excellent rate of fracture reduction weretl.5%, fatality rate and complication rate were 9.3% and 25.6%, long-term Cole score was （29.4± 8.3 ） point; The difference between the groups had statistical significance （ P〈0.05 ） . Conclusion Applying damage control theory in emergency treatment of multiple injuries or unstable pelvic fractures not only can improve fracture recovery quality, but also can reduce the fatality rate and complication rate, long-term efficacy was satisfied, so it is worth to be popularized in clinic.
出处
《浙江临床医学》
2015年第9期1491-1493,共3页
Zhejiang Clinical Medical Journal
关键词
损伤控制
骨盆骨折
急救
Damage control Pelvic fracture Emergency treatment
