严重多发性骨关节创伤的临床救治研

严重多发性骨关节创伤的临床救治研 严重多发性骨关节创伤的临床救治研究 摘要：目的：研究严重多发性骨关节创伤的临床救治。方法：以2012年1月至2014年1月于我院接受救治的314例严重多发性骨关节创伤患者为研究对象，按治疗方案将其划分为观察组和对照组，对照组行常规救治，观察组在此基础上联合应用损害控制理论救治；对比两组患者手术效果、恢复效果及并发症率。结果：观察组手术时间（66.9±12.5）min，手术成功率100%，较对照组手术时间（157.2±37.8）min，手术成功率88.6%，优势显著，差异具备统计学意义（P＜0.05）。且观察组各项预后标准，包括乳酸清除时间、体温恢复时间、凝血酶原时间均要短于对照组，同时术后并发症率仅为6.7%，明显对于对照组34.9%，上述对比差异均显著，具备统计学意义（P＜0.05）。结论：严重多发性骨关节创伤患者伤情严重，且往往具备多类并发症和合并伤，在开展手术前，宜应用损伤控制理论，先保证其生命安全，再行确定性手术，从而提升其预后效果。 关键词：严重多发伤；骨关节创伤；抢救；损害控制 Severe multiple clinical treatment research of joint trauma Abstract: objective: to study the severe multiple clinical treatment scheme of joint trauma. Methods: between January 2012 and January 2014 in our hospital treated 314 cases of severe multiple trauma patients with bone as the research object, according to the treatment can be divided into observation group and control group, control group routine treatment, the observation group based on the joint application of damage control theory of treatment; Compared to two groups of patients with surgery effect, recovery effect and complication rate. Results: the observation group operating time (66.9 + 12.5) min, surgical success rate 100%, than the control group operating time (157.2 + 37.8) min, surgical success rate 88.6%, advantage, difference have statistical significance (P < 0.05). Measures of prognosis and observation group, including lactic acid removal time, temperature recovery time and prothrombin time were shorter in the control group, at the same time, postoperative complications rate of only 6.7%, significantly in the control group 34.9%, the comparative differences are significant,