[1]李少波,韩拓,石梦丽,等.改良型外固定支具在院前急救急性创伤患者的疗效观察[J].中华老年骨科与康复电子杂志,2020,(04):191-196.[doi:10.3877/cma.j.issn.2096-0263.2020.04.002]
　Li Shaobo,Han Tuo,Shi Mengli,et al.Observation of the treatment effect of modified external fixation brace on emergency pre-hospital acute trauma patients[J].Chin J Geriatr Orthop Rehabil(Electronic Edition),2020,(04):191-196.[doi:10.3877/cma.j.issn.2096-0263.2020.04.002]
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改良型外固定支具在院前急救急性创伤患者的疗效观察()
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中华老年骨科与康复电子杂志[ISSN:1674-3911/CN:11-9292/R]

卷:
期数:
2020年04期
页码:
191-196
栏目:
骨与创伤
出版日期:
2020-08-05

文章信息/Info

Title:
Observation of the treatment effect of modified external fixation brace on emergency pre-hospital acute trauma patients
作者:
李少波1; 韩拓1; 石梦丽2; 远洋1; 王静3; 孟宇1; 徐勇1
050021 石家庄市急救中心质控科1；050051 石家庄市中医院肛肠三科2；050023 石家庄市第一医院急诊科3
Author(s):
Li Shaobo1;  Han Tuo1;  Shi Mengli2;  Yuan Yang1;  Wang Jing3;  Meng Yu1;  Xu Yong1.
1Department of Quality Control, Shijiazhuang First Aid Center, 050021 Shijiazhuang; 2Department of Anorectal Surgery, Shijiazhuang City Hospital, 050051 Shijiazhuang, 3Department of Emergency, Shijiazhuang First Hospital, 050023 Shijiazhuang China
关键词:
外固定支具;  院前急救;  创伤;  临床疗效
Keywords:
External fixing brace;  Pre-hospital first aid;  Trauma;  Clinical efficacy
DOI:
10.3877/cma.j.issn.2096-0263.2020.04.002
文献标志码:
A
摘要:
目的 通过对比应用传统外固定器材和改良型外固定支具救治院前急性创伤患者的临床疗效和预后，为院前创伤急救探求一种新方案。方法 回顾性分析石家庄市急救中心自2018年6月至2018年12月救治的195例急性创伤患者，将其分为传统外固定器材组（n=98）和改良型外固定支具组（n=97），分别在救治现场和转运途中，对两组的一般资料、现场外固定所需时间、疼痛评分、患者满意度和外固定牢靠度等情况进行统计学对比和分析。结果 改良型外固定支具组的现场外固定所需时间[（143±27）s]、疼痛评分[（1.8±0.4）分]、患者满意度（100%）、外固定牢靠度（100%）均优于传统外固定器材组[（301±32）s、（2.8±0.8）分、57%、80.6%，均P＜0.05]）。结论 在院前急救急性创伤患者时，选用改良型外固定支具可明显缩短现场外固定操作所需时间，有效缓解疼痛，外固定牢靠，确保患者在院前急救过程中伤情无加重，切实避免了因操作不当所致的人为伤害或二次损伤，从而提高急性创伤患者在院前救治转运过程中的安全性，为后续院内救治赢得时间和奠定基础，同时提升患者满意度，值得在院前急救急性创伤患者的工作中推广和应用。
Abstract:
Objective To compare the application of traditional external fixation equipment and modified external fixation brace in the treatment of pre-hospital acute trauma patients in clinical efficacy and prognosis, and finally find a new scheme for pre-hospital trauma emergency treatment. Methods A retrospective analysis of 195 patients with acute trauma treated from June 2018 to December 2018 in the Shijiazhuang Emergency Center was divided into the traditional external fixation device group (n=98) and the modified external fixation brace group (n=97), statistical comparison and analysis was made on the general data of the two groups, the time required for external fixation, pain score, patient satisfaction, and external fixation reliability. Results The time required for external fixation in the modified external fixation brace group [(143±27) s], pain score [(1.8±0.4) pots], patient satisfaction (100%), external fixation reliability (100%) are better than the traditional external fixation equipment group [(301±32) s, (2.8±0.8) minutes, 57%, 80.6%, all P<0.05]. Conclusions When facing pre-hospitalizing acute trauma patients, the use of modified external fixation braces can significantly shorten the time for external fixation at first aid, effectively relieve pain, and secure external fixation to ensure that the patient’s injury is not worse during the pre-hospital emergency treatment. It has effectively avoided man-made injuries or secondary injuries caused by improper operation, thereby improving the safety of patients with acute trauma in the pre-hospital treatment and transportation process, winning time and laying the foundation for subsequent in-hospital treatment, and im proving patient satisfaction. Popularization and application of pre-hospital emergency trauma patients.

备注/Memo

备注/Memo:
基金项目：2019年度河北省医学科学研究重点课题项目计划（20191487）
更新日期/Last Update: 2020-08-18