颈椎固定治疗多发外伤的疗效

García S Cacho, Otero D Peña, Mutiloa M Eguillor
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引用次数: 1

摘要

在院前环境中,固定是预防多发创伤患者脊髓损伤最常用的方法之一。然而,它的协议使用有历史原则,而不是科学起源。虽然这项技术限制了受伤脊柱的活动,但没有证据支持它适用于所有创伤患者。目的:比较多发创伤患者固定治疗的效果。方法:在PubMed、CINAHL Complete、ScienceDirect、Cochrane Plus和LILACS等数据库中进行文献叙述性综述。结果:共有12篇文章符合所建立的纳入和排除标准,并回答了提出的目的。讨论:目前的文献并没有明确患者何时应该固定的通用标准。此外,这种技术对患者的大量有害影响也日益显现出来。结论:颈椎固定治疗多发外伤患者的疗效仍存在不确定性,需要开展更多的研究,提供科学质量的证据。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Efficacy of Cervical Immobilization in Multiple Trauma Patients
Introduction: Immobilization is one of the most used procedures to prevent spinal cord injury in multiple trauma patients in prehospital setting. However, its protocolary use has historical principles rather than a scientific origin. Although this technique restricts the movement of the injured spine, there is no evidence supporting its use in all patients suffering from trauma. Objective: To contrast the effectiveness of immobilization in multiple trauma patients. Methodology: A bibliographic narrative review was carried out in databases such as PubMed, CINAHL Complete, ScienceDirect, Cochrane Plus and LILACS. Results: A total of 12 articles were obtained that met the inclusion and exclusion criteria established and answered the proposed objective. Discussion: The current literature does not clarify universal criteria about when patients should be immobilized. In addition, the great amount of harmful effects that can cause this technique to the patient are increasingly manifested. Conclusions: It is necessary to carry out more studies that provide scientific evidence of quality to know the effectiveness of cervical immobilization in multiple trauma patients, because this is still something uncertain.
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