浙江临床医学
浙江臨床醫學
절강림상의학
Zhejiang Clinical Medical Journal
2015年
9期
1491-1493
,共3页
损伤控制%骨盆骨折%急救
損傷控製%骨盆骨摺%急救
손상공제%골분골절%급구
Damage control%Pelvic fracture%Emergency treatment
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<0.05）。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。
目的：探討損傷控製理論在多髮傷及不穩定型骨盆骨摺急救中的應用效果。方法迴顧性分析不穩定或多髮傷骨盆骨摺86例患者的臨床資料。按照在急救中應用損傷控製理論的時間為界限，將所有患者分為觀察組和對照組，各43例。分析兩組患者的術後骨摺恢複情況、病死率、併髮癥髮生率及遠期Cole療效評分等。結果觀察組患者的骨摺複位優良率81.0%，術後病死率及併髮癥髮生率分彆為2.3%和13.9%，遠期Cole療效評分（34.5±9.1）分；對照組患者的骨摺複位優良率61.5%，術後病死率及併髮癥髮生率分彆為9.3%和25.6%，遠期Cole 療效評分（29.4±8.3）分；兩組比較差異有統計學意義（P<0.05）。結論在不穩定型或多髮傷骨盆骨摺急救中應用損傷控製理論，不僅能夠有效提升患者術後骨摺恢複質量，同時還能有效減少和降低該類骨盆骨摺患者的病死率和術後併髮癥髮生率，其遠期療效滿意，值得臨床推廣應用。
목적：탐토손상공제이론재다발상급불은정형골분골절급구중적응용효과。방법회고성분석불은정혹다발상골분골절86례환자적림상자료。안조재급구중응용손상공제이론적시간위계한，장소유환자분위관찰조화대조조，각43례。분석량조환자적술후골절회복정황、병사솔、병발증발생솔급원기Cole료효평분등。결과관찰조환자적골절복위우량솔81.0%，술후병사솔급병발증발생솔분별위2.3%화13.9%，원기Cole료효평분（34.5±9.1）분；대조조환자적골절복위우량솔61.5%，술후병사솔급병발증발생솔분별위9.3%화25.6%，원기Cole 료효평분（29.4±8.3）분；량조비교차이유통계학의의（P<0.05）。결론재불은정형혹다발상골분골절급구중응용손상공제이론，불부능구유효제승환자술후골절회복질량，동시환능유효감소화강저해류골분골절환자적병사솔화술후병발증발생솔，기원기료효만의，치득림상추엄응용。
ObjectiveTo evaluate the effect of damage control used in multiple injuries or unstable pelvic fractures emergency treatment. MethodsRetrospective 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. ResultsIn 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 were 61.5%,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 signifi cance(P<0.05).Conclusion Applying damage control theory in emergency treatment of multiple injuries or unstable pelvic fracturesnot only can improve fracture recovery quality,but also can reduce the fatality rate and complication rate,long-term effi cacy was satisfi ed,so it is worth to be popularized in clinic.
