目的 评价应用损伤控制骨科理念应用于临床院前急救骨盆骨折患者的急救效果,为临床骨科的急救奠定基础。方法 2014年6月—2016年10月期间救治的128例骨盆骨折患者,对比患者应用不同院前急救措施并观察结果。结果 予以不同急救方案后,对试验组患者采用损伤控制骨科理念治疗的骨折复位的优良率(92.2%,59/64)显著高于对照组(75.0%,48/64),差异有统计学意义(P＜0.05)。对研究组患者采用损伤控制骨科理念治疗的预后及Cole评分情况均显著优于对照组,如死亡率和并发症情况,差异有统计学意义(P＜0.05)。结论 临床院前急救骨盆骨折患者的过程中,应用损伤控制骨科理念可显著提升急救效果,有利于患者预后的改善,应广泛推广。

Objective To evaluate the effect of applying the concept of damage control orthopedics on prehospital emergency care of pelvic fractures.Methods From June 2014 to October 2016,a total of 128 patients with pelvic fractures were treated in Wuxi Emergency Hospital.Comparisons of curative effects were observed between patients treated with different prehospital emergency measures.Results The excellent rate of fracture reduction of the experimental group (92.2%,59/64) was significantly higher than that of the control group (75.0%,48/64) (P<0.05).The prognosis and Cole scores of the patients treated with the concept of damage control orthopedics were significantly better than those of the control group (such as mortality and complications) (P<0.05).Conclusion The application of damage control orthopedics concept can significantly improve the prehospital emergency treatment effect in patients with pelvic fractures before hospital admission,which is beneficial to patients’ prognosis and should be widely promoted.