Effect of emergency orthopedic surgery for multiple trauma on complication rate
骨科急诊手术治疗多发性创伤对并发症率的影响

摘要

目的 探讨骨科急诊手术应用于多发性创伤治疗中对并发症发生率的影响，为临床诊疗方案优化提供依据。方法 选取本院2025年1月至2025年12月收治的74例多发性创伤患者，采用随机数字表法分为实验组与对照组，每组37例。实验组实施骨科急诊手术治疗，对照组采用保守治疗方案。对比两组患者肺部感染、下肢深静脉血栓、伤口感染、脂肪栓塞综合征等并发症发生率，同时记录并发症出现时间及相关临床指标，采用统计学方法分析组间差异。结果 实验组37例患者中，6例发生并发症，占比16.22%，比对照组的43.24%（16例）发生率更低，经检验两组差异达到有统计学意义（χ²=6.94，P<0.05）。其中实验组肺部感染、下肢深静脉血栓发生率均低于对照组，且并发症出现时间晚于对照组，人均并发症治疗周期短于对照组。结论 多发性创伤经骨科急诊手术治疗后并发症发生率显著下降，延缓并发症出现时间，优化临床治疗效果，值得临床推广应用，但需严格把握手术适应证。

Abstract

Objective To investigate the effect of emergency orthopedic surgery on the incidence of complications in the treatment of multiple trauma, and to provide the basis for the optimization of clinical diagnosis and treatment.
Methods 74 patients with multiple trauma in our hospital from January 2025 to December 2025 were selected and randomly divided into experimental group and control group, 37 cases in each group. The experimental group received emergency orthopedic surgery, while the control group received conservative treatment. The incidence of pulmonary infection, lower extremity deep venous thrombosis, wound infection, fat embolism syndrome and other complications were compared between the two groups, and the occurrence time of complications and related clinical indicators were recorded. The differences between the two groups were analyzed by statistical method.
Results the total effective rate of the treatment group was significantly higher than that of the control group Among the 37 patients in the experimental group, 6 cases had complications, accounting for 16.22%, which was lower than 43.24% in the control group (16 cases). The difference between the two groups was statistically significant (χ²=6.94, p<0.05). The incidence of pulmonary infection and lower extremity deep venous thrombosis in the experimental group were lower than those in the control group, and the occurrence time of complications was later than that in the control group, and the treatment cycle of complications per capita was shorter than that in the control group.
Conclusion   the incidence of complications after emergency orthopedic surgery for multiple trauma is significantly reduced, which can delay the occurrence time of complications and optimize the clinical treatment effect. It is worthy of clinical promotion and application, but the surgical indications should be strictly grasped.