院前急救联合介入血管栓塞术对多发伤患者的治疗效果
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南阳市中心医院 急诊应急 120 综合调度办公室 河南 南阳 473000

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Effect of pre-hospital first aid combined with interventional vascular embolization on patients with multiple injuries
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    摘要:

    目的:探究院前急救联合介入血管栓塞术对多发伤患者的治疗效果。方法:选取2022年3月至2024年10月期间本院收治的64例多发伤患者作为研究对象。采用随机数字表法将患者分为对照组和观察组,每组各32例。对照组采用院前急救治疗;观察组接受院前急救联合介入血管栓塞术治疗。分析比较两组的炎症因子 [白细胞介素-6 (Interleukin-6,IL-6)和C-反应蛋白(C-reactive protein,CRP)]水平、预后情况、住院时长及并发症发生率。结果:治疗后,两组的IL-6与CRP水平均比治疗前下降,且观察组的IL-6与CRP水平均比对照组显著降低(P<0.05)。观察组的预后不良发生率显著低于对照组(P<0.05)。观察组的并发症发生率显著低于对照组(P<0.05),观察组的住院天数显著短于对照组(P<0.05)。结论:院前急救联合介入血管栓塞术治疗多发伤患者,能降低患者的炎症水平,降低预后不良发生率以及并发症发生率,促进术后康复。

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    Objective: To explore the effect of pre-hospital emergency treatment combined with interventional vascular embolization on patients with multiple injuries. Methods: 64 patients with multiple injuries admitted to our hospital from March 2022 to October 2024 were selected as the study objects. Patients were divided into control group and observation group by random number table method, 32 cases in each group. The control group received pre-hospital emergency treatment; The observation group received pre-hospital emergency treatment combined with interventional vascular embolization. The levels of inflammatory factors [Interleukin-6 (IL-6) and C-reactive protein (CRP)], prognosis, length of stay and incidence of complications were analyzed and compared between the two groups. Results: After treatment, the levels of IL-6 and CRP in both groups were decreased compared with before treatment, and the levels of IL-6 and CRP in observation group were significantly decreased compared with control group (P<0.05). The incidence of adverse prognosis in the observation group was significantly lower than that in the control group (P<0.05). The incidence of complications in the observation group was significantly lower than that in the control group (P<0.05), and the length of hospitalization in the observation group was significantly shorter than that in the control group (P<0.05). Conclusion: Pre-hospital emergency treatment combined with interventional vascular embolization can reduce the level of inflammation in patients with multiple injuries, reduce the incidence of adverse prognosis and complications, and promote postoperative rehabilitation.

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李巧.院前急救联合介入血管栓塞术对多发伤患者的治疗效果[J].四川生理科学杂志,2025,47(12):

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  • 收稿日期:2025-04-02
  • 最后修改日期:2025-04-09
  • 录用日期:2025-04-19
  • 在线发布日期: 2026-01-04
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