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目的探讨损伤控制策略在重症监护病房(ICU)中的应用价值。方法选取2013年电白县人民医院ICU收治的严重多发伤患者72例,随机分为试验组与对照组,各36例。试验组患者予以损伤控制策略,对照组患者予以常规治疗策略。观察两组患者多器官功能障碍综合征(MODS)发生率、逆转率、机械通气率及死亡危险性预测情况。结果试验组患者MODS发生率低于对照组,逆转率高于对照组,差异有统计学意义(P<0.05),两组患者机械通气率比较,差异无统计学意义(P>0.05);试验组患者实际病死率低于对照组(P<0.05),试验组患者实际病死率与预测病死率比较,差异有统计学意义(P<0.05),对照组患者实际病死率与预测病死率比较,差异无统计学意义(P>0.05)。结论损伤控制策略在ICU中具有重要的应用价值,可降低患者病死率。
Objective To investigate the value of injury control strategy in intensive care unit (ICU). Methods Seventy-two patients with severe multiple trauma admitted to ICU in 2013 were randomly divided into experimental group and control group, with 36 cases in each group. Patients in the test group were given injury control strategies, and patients in the control group were given routine treatment strategies. The incidence of multiple organ dysfunction syndrome (MODS), reversal rate, mechanical ventilation rate and the prediction of risk of death were observed in two groups. Results The incidence of MODS in the experimental group was lower than that in the control group, and the reversal rate was higher than that in the control group (P <0.05). There was no significant difference in the mechanical ventilation rate between the two groups (P> 0.05) The actual mortality of patients in the control group was lower than that of the control group (P <0.05). The actual mortality and predicted mortality of the patients in the experimental group were significantly different (P <0.05). The actual mortality and the predicted mortality in the control group were compared, The difference was not statistically significant (P> 0.05). Conclusion The injury control strategy has an important application value in the ICU, which can reduce the patient mortality.