骨科损伤控制技术治疗不稳定骨盆骨折合并四肢多发骨折的临床效果及其对凝血功能的影响

摘要

Objective To investigate clinical effect of DCO in treatment of unstable pelvic fracture combined with multiple limbs multiple fractures and its influence on blood coagulation function. Methods 103 cases of patients with unstable pelvic fracture combined with multiple limbs multiple fractures cured in our hospital from March 2014 to August 2015 were selected and randomly divided into the control group (n=51) and observation group (n=52). Patients in observation group were treated with DCO,and patients in control group were treated with open reduction and internal fixation. Results The amount of bleeding,operation time,body temperature recovery time,callus time,the excellent rate of fracture healing and the incidence of complication of observation group were significantly better than those of the control group (P < 0.05).After treatment,FIB,APTT,TT and PT of observation group were significantly better than those of control group (P<0.05).The incidence of complication of observation group was 5.8%,which was significantly better than that of control group with 23.5% (P < 0.05). Conclusion The effect of DCO treatment in treatment of unstable pelvic fracture combined with multiple limbs multiple fractures is ideal.It has few postoperative complications,and it can improve the patient’s coagulation function.It is worth promoting.%目的：探讨骨科损伤控制技术（DCO）治疗不稳定骨盆骨折合并四肢多发骨折的临床效果，并分析其对凝血功能的影响。方法选取2014年3月～2015年8月我院收取的不稳定骨盆骨折合并四肢多发骨折103例，并按照随机数字表法分为对照组（n=51）和观察组（n=52）。观察组行DCO治疗，对照组行切开复位内固定治疗，分析不同组别治疗方案的临床效果。结果观察组患者术中出血总量、手术总时长、体温恢复时长以及骨痂所用时间四项手术指标均显著低于对照组（P＜0.05）。观察组患者骨折康复优良率达到82.7%，显著高于对照组的62.7%（P＜0.05）。治疗后，观察组患者FIB值明显低于对照组，APTT值、TT值和PT值明显高于对照组（P＜0.05）。观察组并发症发生率是23.5%，显著低于对照组的5.8%（P＜0.05）。结论骨科损伤控制技术治疗不稳定骨盆骨折合并四肢多发骨折的效果理想，术后并发症少，可以提高患者的凝血功能，值得推广。