以创伤医师为主导的多学科协作模式对血流动力学不稳定骨盆骨折的早期救治效果评估

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Abstract

Objective To explore the effectiveness of early treatment of hemodynamically unstable pelvic fractures led by trauma physicians using multidisciplinary team (MDT) approach.Methods A total of 280 patients with hemodynamically unstable pelvic fractures from July 2020 to July 2023 admitted to Beijing Jishuitan Hospital Guizhou Hospital were selected as the study objects.They were divided into observation group (140 cases)and control group (140 cases).The observation group was treated with MDT model guided by trauma physicians,while the control group received traditional treatment.The mortality rate,vital signs at admission and after admission,laboratory indicators,treatment conditions,and diagnostic and treatment times were compared between the two groups.Results The mortality rates within 24 hours after admission between the two groups showed no significant statistical differences(P＞0.05).There were no significant differences in systolic blood pressure,heart rate,hemoglobin,platelet count,and blood lactate levels at admission between the two groups(P＞0.05).At 6 hours and 24 hours after admission,the systolic blood pressure of the observation group was higher than that of the control group,and the heart rate of the observation group was lower than that of the control group,and the differences were statistically significant (P＜0.05).At 24 hours after admission,the hemoglobin and platelet counts of the observation group were higher than those of the control group,and the blood lactate levels of the observation group were lower than those of the control group,and the differences were statistically significant (P＜0.05).The transfusion volume of the observation group was lower than that of the control group,and the ICU stay duration,emergency department throughput time,and early treatment time were shorter than those of the control group,and the differences were statistically significant (P＜0.05).Conclusion The MDT model led by trauma physicians can effectively improve the stability of vital signs in patients with hemodynamically unstable pelvic fractures and shorten related treatment times.

Key words： Pelvic fracture Hemodynamic instability Multidisciplinary team model Trauma physician Early treatment

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