李付斌

[摘要] 目的 探究骨科下肢创伤的临床救治方法以及效果。方法 在该院2017年3月—2018年12月收治的骨科下肢创伤患者中便利选取80例作为研究对象，根据患者入院顺序编号，将单数40例分入常规组，采取常规骨科创伤临床救治方法治疗，双数40例分入实验组，应用损伤控制理论进行临床救治，比较两组患者救治效果、住院时间、满意度、并发症发生情况。结果 实验组患者并发症发生率2.50%，低于常规组患者（χ2=6.135， P=0.013），救治总有效率92.50%，高于常规组患者（χ2=5.541，P=0.019），实验组患者住院时间（31.52±4.77）d，短于常规组患者（t=15.152， P=0.000），治疗满意度评分（88.68±3.80）分，高于常规组患者（t=11.864， P=0.000）。结论 在骨科下肢创伤临床救治中应用损伤控制疗法，能有效提高救治效果，改善患者骨折症状，预防不良反应发生，缩短患者治疗时间，促进患者恢复。

[关键词] 损伤控制理论;骨科下肢创伤;临床救治方法;治疗效果

[Abstract] Objective To explore the clinical treatment methods and effects of orthopedic lower limb trauma. Methods Among the patients with orthopedic lower extremity trauma treated in the hospital from March 2017 to December 2018， 80 cases were convenient selected as the research objects according to the patient admission sequence number， a singular number of 40 cases were divided into the routine group， and the routine orthopedic trauma clinical treatment was adopted; a double number of 40 patients were divided into the experimental group， and clinical treatment was performed using the theory of injury control. The treatment effect， hospital stay， satisfaction， and complications of the two groups were compared. Results The incidence of complications in the experimental group was 2.50%， which was lower than that in the conventional group （χ2=6.135， P=0.013）. The total effective rate was 92.50%， which was higher than that in the conventional group （χ2=5.541， P=0.019）. The hospital stay of the experimental group was （31.52±4.77） d， shorter than the patients in the conventional group（t=15.152， P=0.000）， and the score of treatment satisfaction （88.68±3.80）points， higher than that in the patients in the conventional group（t=11.864， P=0.000）.Conclusion The application of injury control therapy in the clinical treatment of orthopedic lower limb trauma can effectively improve the treatment effect， improve the fracture symptoms of patients， prevent the occurrence of adverse reactions， shorten the treatment time of patients， and promote the recovery of patients.

[Key words] Injury control theory; Orthopaedic lower extremity trauma; Clinical treatment methods; Treatment effect

下肢創伤是常见的一类骨科疾病，发病率较高，具有较高致残致死率，大多患者是由外部冲击躯体而造成的创伤，如交通事故、重物砸伤等，属于骨科多发疾病，未及时治疗，导致神经、脑内、脏腑等受到创伤，易诱发多种并发症，提升救治难度的同时，危及患者生命安全。因此需要采取及时有效临床救治，预防三联征，通过及时抢救治疗，控制病情，提高治疗效果，降低患者病死率[1-2]。以往多采取传统手术方法治疗骨科下肢创伤，具有一定就救治效果，但存在一定危险因素，延误救治。随着医疗理念的发展，损伤控制理论被逐渐运用到骨科下肢创伤临床救治中，在确定手术方案前紧急处理患者损伤，控制病情，从而提高患者耐受力，为后续治疗奠定基础。……