摘要
Abstract
Objective To investigate the impact of refined nursing based on damage control theory on the prognosis of patients with unstable pelvic fractures complicated with multiple injuries.Methods Eighty patients with unstable pelvic fractures and multiple injuries treated at the Affiliated Hospital of Xuzhou Medical University from March 2022 to October 2023 were selected as the study subjects.They were randomly divided into a control group(40 cases)and an observation group(40 cases)using a random number table method.The control group received routine nursing methods,while the observation group received refined nursing based on damage control theory.The hospitalization time,vital signs,postoperative functional recovery,and incidence of complications of the two groups were compared.Results The length of hospital stay,the time from admission to definitive surgery,and duration of surgery in the observation group were all shorter than those in the control group,and the amount of intraoperative bleeding was less than that in the control group(all P<0.05).At one day after admission and during definitive surgery,the pH and body temperature of both groups were higher than those at admission,and the serum procalcitonin(PCT)levels of both groups were lower than those at admission(all P<0.05).Additionally,the pH and body temperature of the observation group were higher than those of the control group at the same time,and the serum PCT levels of the observation group were lower than those of the control group at the same time(both P<0.05).The above indicators of both groups during definitive surgery were better than those at one day after admission(all P<0.05).Compared with the control group,the observation group had a higher rate of excellent postoperative functional recovery and a lower overall incidence of complications(both P<0.05).Conclusion Refined nursing based on damage control theory can effectively accelerate the process of definitive surgery for patients with unstable pelvic fractures,reduce intraoperative bleeding,shorten hospitalization and surgical duration,stabilize vital signs,reduce the incidence of postoperative complications,and improve postoperative fracture recovery.关键词
不稳定型骨盆骨折/多发伤/损伤控制理论/精细化护理/预后Key words
unstable pelvic fracture/multiple injury/damage control theory/refined nursing/prognosis分类
医药卫生
