The Application Effect and Influencing Factors of Rapid Rehabilitation Techniques Combined with Damage Control Surgical Techniques in Patients with Multiple Injuries

Lan SHEN; Chaoming CHEN; Jianneng DAI; Lunqing PU; Tianrui WANG; Gang MA

doi:10.12259/j.issn.2095-610X.S20240516

Volume 45 Issue 5

May 2024

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Article Navigation > Journal of Kunming Medical University > 2024 > 45(5): 103-108

Lan SHEN, Chaoming CHEN, Jianneng DAI, Lunqing PU, Tianrui WANG, Gang MA. The Application Effect and Influencing Factors of Rapid Rehabilitation Techniques Combined with Damage Control Surgical Techniques in Patients with Multiple Injuries[J]. Journal of Kunming Medical University, 2024, 45(5): 103-108. doi: 10.12259/j.issn.2095-610X.S20240516

Citation:

Lan SHEN, Chaoming CHEN, Jianneng DAI, Lunqing PU, Tianrui WANG, Gang MA. The Application Effect and Influencing Factors of Rapid Rehabilitation Techniques Combined with Damage Control Surgical Techniques in Patients with Multiple Injuries[J]. Journal of Kunming Medical University, 2024, 45(5): 103-108. doi: 10.12259/j.issn.2095-610X.S20240516

Citation:

Lan SHEN, Chaoming CHEN, Jianneng DAI, Lunqing PU, Tianrui WANG, Gang MA. The Application Effect and Influencing Factors of Rapid Rehabilitation Techniques Combined with Damage Control Surgical Techniques in Patients with Multiple Injuries[J]. Journal of Kunming Medical University, 2024, 45(5): 103-108. doi: 10.12259/j.issn.2095-610X.S20240516

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The Application Effect and Influencing Factors of Rapid Rehabilitation Techniques Combined with Damage Control Surgical Techniques in Patients with Multiple Injuries

doi: 10.12259/j.issn.2095-610X.S20240516

1.
Trauma Center of Honghe Hospital Affiliated to Kunming Medical University/ South Yunnan Central Hospital/The 1st People’s Hospital of Honghe Prefecture，Mengzi Yunnan 661199
2.
Dept. of Orthopedics，The Affiliated Hospital of Qingdao University，Qingdao Shandong 266555
3.
Trauma Center of The 3rd People’s Hospital of Honghe Prefecture，Gejiu Yunnan 661000，China

Received Date: 2024-01-11
Available Online: 2024-04-29
Publish Date: 2024-05-31

Abstract

Abstract

Objective To analyze the clinical effects of rapid rehabilitation technology combined with injury control in the rehabilitation of patients with multiple injuries and the occurrence of complications, and to explore the factors affecting the occurrence of complications. Methods The clinical data of 108 patients with multiple injuries from October 2020 to November 2022 in Honghe Hospital Affiliated to Kunming Medical University were collected and divided into group A （55 cases） and group B （53 cases）. Group A was treated with rapid rehabilitation measures + injury control, group B was treated with conventional rehabilitation measures + injury control. The clinical efficacy, complications and related influencing factors were compared between the two groups. Results The blood coagulation function, lactic acid, temperature recovery time and intraoperative blood loss in group A were significantly better than those in group B （P < 0.05）, but the operative time was longer （P < 0.05）. Postoperative ISS score, Mb, CK and HMGB1 levels in group A were lower than those in group B （P < 0.05）. The incidence of complications in group A （7 cases） was lower than that in group B （20 cases）（P < 0.05）. Logistic regression analysis showed that treatment and rehabilitation measures were the main factors affecting the postoperative complications. Conclusion Rapid rehabilitation technology combined with injury control in the treatment of patients with multiple injuries has a good clinical effect and can significantly reduce the incidence of postoperative complications, among which a good rehabilitation treatment is the key to reduce complications.
- Damage control surgical techniques,
- Rapid rehabilitation techniques,
- Multiple injuries,
- Effect,
- Influence factor

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References(17)

References

[1]	Bogner-Flatz V,Braunstein M,Bazarian J J,et al. Neutrophil gene expression patterns in multiple trauma patients indicate distinct clinical outcomes[J]. J Surg Res,2022,277(3):100-109.
[2]	Xu C F,Huo M C,Huang J H,et al. Early changes in white blood cell,C-reactive protein and procalcitonin levels in children with severe multiple trauma[J]. World J Emerg Med,2022,13(6):448-452. doi: 10.5847/wjem.j.1920-8642.2022.093
[3]	李光然,孟庆峰,吴波,等. 损伤控制治疗1例多发伤术后腰椎真菌感染[J]. 中国矫形外科杂志,2023,31(8):763-765.
[4]	沈蓝,浦同青,丁江波,等. 基于快速康复的全程化管理联合损伤控制在多发伤中的应用效果[J]. 昆明医科大学学报,2023,44(8):128-132.
[5]	陈维庭. 医院内创伤严重度评分法-AIS-ISS法[J]. 中华创伤杂志,1994,1(1):47-49.
[6]	Tsinaslanidis P,Smith T O,Brown O S,et al. The association of hand and wrist injuries with other injuries in multiple trauma patients. A retrospective study in a UK Major Trauma Centre[J]. Injury,2021,52(7):1778-1782. doi: 10.1016/j.injury.2021.04.027
[7]	Sánchez Arguiano Mar í a Juncal et al. Chronic critical illness after trauma injury: Outcomes and experience in a trauma center[J]. Acta Chir Belg,2023,123(6):618-624. doi: 10.1080/00015458.2022.2106626
[8]	王正国,盛志勇,黎鳌. 战伤的含义及有关术语的探讨[J]. 创伤杂志,1985,1(2):102-104.
[9]	陈志达,吴佳佳,卫勃,等. 野战条件下多发伤动物模型损伤控制外科救治效果分析及卫勤手术力量优化的思考[J]. 解放军医学院学报,2022,43(7):763-768.
[10]	张雪,陈伟伟,李翠花. 下肢长骨干骨折伴发脂肪栓塞综合征应用损伤控制骨科策略的干预效果观察[J]. 中国骨伤,2023,36(3):236-241.
[11]	Rezaei B,Ramazani E,Amiri R,et al. A cross-sectional study on the prevalence of electrolyte abnormalities in multiple trauma patients in Hamedan,Iran[J]. Health Sci Rep,2021,4(2):e239. doi: 10.1002/hsr2.239
[12]	黄永生,赵腾飞,文礼春,等. 三级创伤中心急救流程再造对严重多发伤救治的疗效观察[J]. 创伤外科杂志,2021,23(12):927-928.
[13]	Shahali H,Farahani A A. Unexpected fatal tension pneumothorax: A case report regarding a patient with multiple traumas on air medical transportation[J]. Air Med J,2021,40(2):127-129. doi: 10.1016/j.amj.2020.12.004
[14]	Park C,Lee J. Massive hemothorax due to intercostal arterial bleeding after percutaneous catheter removal in a multiple-trauma patient: A case report[J]. World J Clin Cases,2021,9(32):9942-9947. doi: 10.12998/wjcc.v9.i32.9942
[15]	Jaekel C,Oezel L,Bieler D,et al. Implications of prehospital estimation of trauma patients for the treatment pathway-An evaluation of the TraumaRegister DGU®[J]. Der Anaesthesist,2021,71(2):1-10.
[16]	苏鹏飞,林文清. 损伤控制外科技术在急诊多发伤救治中的应用效果[J]. 浙江创伤外科,2022,27(4):751-752.
[17]	徐辉,鲁正,刘思义. 损伤控制性外科在老年急性重症胆道感染患者中的临床应用[J]. 肝胆胰外科杂志,2022,34(7):419-423.

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