XW-肢体创伤固定器在突发灾害救援中的效果分析

目的总结XW-肢体创伤固定器，在突发灾害救援四肢创伤患者时的使用效果。方法四肢不同急性创伤患者2156例，755例用XW-肢体创伤固定器固定，696例用负压气垫固定，705例用小夹板固定。比较各种方法的急救消耗时间、患者痛苦程度及并发症发生率。结果上肢骨、关节损伤时用XW-肢体固定器者的固定肢体时间为（18±3）s，显著短于负压气垫组（87±7）s]和小夹板组（126±11）s]，均P〈0.01；负压气垫组的时间也显著短于小夹板组（P〈0.05）。下肢骨、关节损伤时用XW-肢体固定器者的固定肢体时间为（21±3）S，显著短于负压气垫组和小夹板组（118±9）S和（190＋15）S，均P〈0.01）]；负压气垫组的时间也显著短于小夹板组（P〈0.05）。XW组术中止痛处置率为0，二次损伤发生率为0。结论XW-肢体固定器在抢救肢体创伤患者时所需固定时间耗时少，固定效果好，操作简单，值得在突发灾害救援中推广。

Effects of XW-limbs wound fixer in emergent disaster rescue

Objective To evaluate the effectiveness of XW-limbs wound fixer in emergent disaster rescue. Methods 2156 patients with acute trauma of the extremities underwent fixation by XW-limbs wound fixer （n=755）, negative-pressure air-cushion （n=696）, or small splint （n=705）. The time-consmning during fixation, pain degree of the patients, and complication rate were compared among these 3 groups. Results The time needed during fixation of the patients with upper extremity bone and joint injury by XW-limbs wound fixer was （18±3） s, significantly shorter than those of the negative-pressure air-cushion and small splint groups（87±7）s and （126± 11） s, both P 〈 0.01 and with significant difference between the latter 2 groups （P 〈 0.05）. The time needed during fixation of the patients with lower extremity bone and joint injury treated by XW-limbs wound fixer was（21±3）s, significantly shorter than those of the negative-pressure air-cushion and small splint groups （118±9）s and （190±15） s respectively, both P〈 0.01] and with significant difference between the latter 2 groups （P〈0.05）. In the XW group, the pain relieving rate during operation and secondary wound rate were both 0. Conclusion Effective in emergent disaster rescue, XW-limbs wound fixer is worth popularizing.