Observation of the treatment effect of modified external fixation brace on emergency pre-hospital acute trauma patients

doi:10.3877/cma.j.issn.2096-0263.2020.04.002

Abstract

Abstract:

Objective

To compare the application of traditional external fixation equipment and modified external fixation brace in the treatment of pre-hospital acute trauma patients in clinical efficacy and prognosis, and finally find a new scheme for pre-hospital trauma emergency treatment.

Methods

A retrospective analysis of 195 patients with acute trauma treated from June 2018 to December 2018 in the Shijiazhuang Emergency Center was divided into the traditional external fixation device group (n=98) and the modified external fixation brace group (n=97), statistical comparison and analysis was made on the general data of the two groups, the time required for external fixation, pain score, patient satisfaction, and external fixation reliability.

Results

The time required for external fixation in the modified external fixation brace group [(143±27) s], pain score [(1.8±0.4) pots], patient satisfaction (100%), external fixation reliability (100%) are better than the traditional external fixation equipment group [(301±32) s, (2.8±0.8) minutes, 57%, 80.6%, all P<0.05].

Conclusions

When facing pre-hospitalizing acute trauma patients, the use of modified external fixation braces can significantly shorten the time for external fixation at first aid, effectively relieve pain, and secure external fixation to ensure that the patient's injury is not worse during the pre-hospital emergency treatment. It has effectively avoided man-made injuries or secondary injuries caused by improper operation, thereby improving the safety of patients with acute trauma in the pre-hospital treatment and transportation process, winning time and laying the foundation for subsequent in-hospital treatment, and im proving patient satisfaction. Popularization and application of pre-hospital emergency trauma patients.

Key words: External fixing brace, Pre-hospital first aid, Trauma, Clinical efficacy

Shaobo Li, Tuo Han, Mengli Shi, Yang Yuan, Jing Wang, Yu Meng, Yong Xu. Observation of the treatment effect of modified external fixation brace on emergency pre-hospital acute trauma patients[J]. Chinese Journal of Geriatric Orthopaedics and Rehabilitation(Electronic Edition), 2020, 06(04): 191-196.

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Figures/Tables 5

References 24

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组别	例数	性别（例，男/女）	年龄（岁，±s）	创伤部位（例，上肢及上肢带骨/下肢及下肢带骨）	致伤原因（例，平地摔伤/交通伤/坠落伤/压砸伤）
传统外固定器材组	98	51/47	52±15	52/46	45/32/11/10
改良型外固定支具组	97	56/41	53±14	53/44	43/33/10/11
统计值		χ²=0.638	t=7.136	χ²=0.049	χ²=0.376
P值		0.425	0.387	0.825	0.213

组别	例数	性别（例，男/女）	年龄（岁，±s）	创伤部位（例，上肢及上肢带骨/下肢及下肢带骨）	致伤原因（例，平地摔伤/交通伤/坠落伤/压砸伤）
传统外固定器材组	98	51/47	52±15	52/46	45/32/11/10
改良型外固定支具组	97	56/41	53±14	53/44	43/33/10/11
统计值		χ²=0.638	t=7.136	χ²=0.049	χ²=0.376
P值		0.425	0.387	0.825	0.213

组别	例数	现场外固定所需时间
传统外固定器材组	98	301±32
改良型外固定支具组	97	143±27
t值		37.287
P值		<0.01

组别	例数	现场外固定所需时间
传统外固定器材组	98	301±32
改良型外固定支具组	97	143±27
t值		37.287
P值		<0.01

组别	例数	治疗前	治疗后
传统外固定器材组	98	4.7±0.6	2.8±0.8
改良型外固定支具组	97	4.7±0.4	1.8±0.4
t值		0.962	10.329
P值		0.337	<0.01

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