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目的:探讨分析损伤控制在促进急诊外科多发伤患者恢复中的价值。方法:随机选择2014年6月-2016年6月入住我院治疗的多发伤患者60例,并随机分成治疗组和对照组,每组30例患者。治疗组采取损伤控制的疗法,对照组采取一期确定治疗手术的方法,对比分析两组患者治疗前后最高体温、乳酸清除时间、凝血功能改善状况(以PT和APTT恢复正常时间为标准)、血液碱剩余(BE)恢复时间、手术出血量、并发症的发生情况及死亡率。结果:相较于对照组患者,治疗组患者手术时间、术中出血量、术后最高体温、乳酸清除时间、PT、APTT和BE恢复正常时间均明显降低或缩短,差异均有统计学意义(P<0.05),但两组患者并发症率及患者死亡率差异无统计学意义(P>0.05)。结论:相较于传统的方法,采用损伤控制外科技术应用于急诊外科多发伤可促进患者恢复,具有一定的应用价值。
Objective: To investigate the value of injury control in promoting the recovery of emergency surgery patients with multiple trauma. Methods: Sixty patients with multiple traumatic injuries admitted to our hospital from June 2014 to June 2016 were randomly selected and randomly divided into treatment group and control group, with 30 patients in each group. The treatment group was given injury-controlled therapy and the control group was treated with the first phase of treatment. The maximum body temperature, lactic acid clearance and improvement of coagulation function were compared between the two groups before and after treatment (PT and APTT recovery time were normal), blood Base Residual (BE) recovery time, operative bleeding, complications and mortality. Results: Compared with the control group, the operation time, intraoperative blood loss, postoperative maximal body temperature, lactic acid clearance time, PT, APTT and BE recovery time were significantly decreased or shortened in the treatment group, the differences were statistically significant ( P <0.05), but there was no significant difference in the complication rates and patient mortality between the two groups (P> 0.05). Conclusion: Compared with the traditional methods, it is of certain value to apply the technique of injury control and surgical treatment to multiple injuries in emergency surgery to promote the recovery of patients.