普外科损伤控制术临床效果观察

目的 探讨损伤控制性手术应用于危重患者外科治疗的临床效果 方法 选取2009年11月至201 1年11月急诊外科及草堂外科病区住院部收治的56例危重患者临床资料,其中对满足条件的观察组28例患者行损伤控制术,来满足条件的对照组28例患者进行常规外科创伤治疗30 d为1个疗程,3个疗程后,比较两组数据,判断治疗效果.结果 3个疗程后,观察组28例创伤患者治愈16例,占57.1％,显效7例,占25.0％,有效4例,占14.3％,无效1例,占3.6％,观察组总有效率为96.4％:对照组28例创伤患者治愈6例,占21.4％,显效5例,占17.9％,有效10例,占35.7％,无效7例,占比25.0％,观察组总有效率为75.0％,观察组总有效率明显优于对照组(P＜0.05) 结论 损伤控制术时提高外科危重患者的治愈率、减少患者疼痛等方面具有显著效果

Observation on clinical effects of general surgery damage control operation

Objective To explore the clinical effects of the damage control surgery used in surgical treatment of critically ill patients. Methods The clinical data in 56 cases of critically ill treated in the surgical emergency and the inpatient department of Caotang surgical disease area from November 2010 to November 2011 were selected. Among them,28 cases meeting the conditions as the observation group were performed the damage control operation and the other 28 cases without meeting the conditions as the control group were performed the routine surgical trauma treatment with 30 d as a treatment course. After 3 treatment courses,the data were compared between the two groups and the therapeutic effects were judged. Results Among 28 cases after 3 treatment courses in the observation group, 16 cases （57.1%） were cured, 7 cases（25.0%） were excellent effective ,4 cases（14.3%） were effective and 1 case（3.6% ） was ineffective. The total effective rate in the observation group was 96.4%. Among 28 cases in the control group, 6 cases （21.4%） were cured, 5 cases （17.9%） were excellent effective, 10 cases （35.7%） were effective and 7 cases （25.0%） were ineffective. The total effective rate in the control group was 75.0%. The total effective rate in the obsevation group was significantly superior to that in the control group（P〈0.05）. Conclusion The damage control operation has obvious effects in the aspects of increasing the cure rate and relieving pain in surgical criti- cally ill patients.