Application Effect of Whole-process Management Based on Rapid Rehabilitation Combined with Damage Control Surgical Techniques in the Emergency Treatment of Patients with Multiple Injuries
PU Lunqing
SHEN Lan
CHEN Chaoming
PU Tongqing
XIE Hao
SU Xiaomei
TAN Lei
Abstract：Objective:To explore the application effect of whole-process management based on rapid rehabilitation combined with damage control surgical techniques in the emergency treatment of patients with multiple injuries.Method:From January 2019 to December 2020,41 patients with multiple injuries who adopted the traditional specialist treatment mode in Honghe Hospital Affiliated to Kunming Medical University were selected as the control group,from January 2021 to December 2022,41 patients with multiple injuries who adopted the whole-process management based on rapid rehabilitation combined with damage control surgical techniques in our hospital were selected as the observation group.The postoperative treatment,postoperative clinical indicators,stress response and complication rate were compared between two groups.Result:The operation time,on-site treatment time,rescue reaction time,early warning time,base excess(BE)recovery time,coagulation index recovery time,lactic acid recovery time,body temperature recovery time,ICU stay time and hospitalization time of the observation group were shorter than those of the control group,the amount of bleeding was less than that of the control group,the blood oxygen saturation was higher than that of the control group,and the incidence of complications was lower than that of the control group,the differences were statistically significant(P<0.05);the acute physiology score(APS)and acute physiology and chronic health evaluation Ⅱ(APACHE Ⅱ)score in the observation group at 24 h after operation were lower than those in the control group,and the differences were statistically significant(P<0.05).Conclusion:In the emergency treatment,the whole-process management based on rapid rehabilitation combined with damage control surgical techniques can promote the recovery of clinical indicators,reduce postoperative complications and improve the prognosis.
Keywords：Damage control surgical techniquesMultiple injuriesFirst aidComprehensive effect
Publication Date：2025-06-05
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 32-35 )