四肢骨折院外前急救措施分析与研究.docVIP

四肢骨折院外前急救措施分析与研究 　　摘要：目的对四肢骨折患者院前现场急救措施进行探讨和分析。方法选取我院2012年5月~2013年5月收治的80例四肢骨折患，患者在入院前均接受骨折肢体复位、血容量补充以及抗休克治疗和外伤处理等。将80例患者设为观察组，选取同期入院前未接受急救措施处理的四肢骨折患者80例，设为对照组。观察两组患者入院后救治成功率。结果观察组在院外前急救措施处理的患者救治率（96.3%）明显高于对照组（83.8%），（P0.05）有统计学意义。观察组患者平均住院时间（21.9±3.2）d明显优于对照组（29.5±2.1）d，（P0.05）有统计学意义。结论四肢骨折患者院前积极救治、妥善转运，能够减轻患者痛苦，又为院内后续治疗做好准备。 　　关键词：四肢骨折；院前急救；急救措施；肢体复位 　　To Investigate the Fracture of Limbs in Pre-hospital Emergency Care 　　WEI Yu-qing 　　(Department of Emergency ,The First Affiliated Hospital of Guangxi Medical University,Nanning 530021,Guangxi,China) 　　Abstract：ObjectiveTo explore and analyze the field of limb fractures in patients with pre hospital first aid measures. Methods80 cases in our hospital from 2012 May to 2013 of May were fracture patients, patients underwent fracture limb reduction, blood volume replacement and anti shock therapy and trauma treatment before admission. 80 cases of patients as the observation group, select the same period before admission first aid measures did not accept the limbs treated fractures in 80 patients, as control group. Observation of two groups of patients after admission treatment success rate. ResultsIn the observation group patients outside the hospital first aid treatment rate (96.3%) was significantly higher than the control group (83.8%), (P0.05) had statistical significance. The observation group patients hospitalization time (21.9 ± 3.2) d was significantly better than the control group (29.5 ± 2.1) d, (P0.05) had statistical significance. ConclusionPatients with fracture of pre hospital treatment, to transport, to alleviate the suffering of patients, and hospital follow-up treatment ready. 　　Key words：Extremities fractures; First aid; First aid; Limb reduction 　　四肢骨折为各种外伤引起的直接或间接暴力作用于身体四肢引起四肢骨骼完整性及连续性中断，院前急救能够及时有效地对患者进行初步救治，对骨折肢体进行复位、对患者外伤出血迅速处理、对患者血容量进行补充、抗休克治疗等，最终将患者安全送至医院接受治疗。对我院收治的80例四肢骨折患者进行院前急救措施进行回顾性分析，具体报告如下： 　　1资料与方法 　　1.1一般资料选取我院2012年5月~2013年5月收治的80例四肢骨折患，其中男性患者51例，女性患者29例，患者年龄（16~73）岁，平均年龄（45.