РОЛЬ УСТРОЙСТВ ДЛЯ ФИКСАЦИИ ПОВРЕЖДЕНИЙ ТАЗА НА ДОГОСПИТАЛЬНОМ И ГОСПИТАЛЬНОМ ЭТАПАХ НЕОТЛОЖНОЙ МЕДИЦИНСКОЙ ПОМОЩИ. ОБЗОР ЛИТЕРАТУРЫ
Введение. В научной сфере имеется тенденция к проведению исследований в области неотложной медицины [28, 39]. Травмы таза занимают одно из лидирующих мест среди проблем травматологии и неотложной медицины. Вопрос о выборе лучшего и эффективного способа иммобилизации при повреждениях таза до сих пор остается актуальным.
Цель. Анализ литературных данных о роли устройств для временной и постоянной фиксации повреждений таза на догоспитальном и госпитальном этапах неотложной медицинской помощи.
Методы исследования. В процессе поиска литературы были использованы следующие поисковые системы: Pubmed, Google Академия. Глубина поиска была не ограничена. Мы использовали следующие стратегии поиска в PubMed (MeSH Terms: epidemiology; pelvis; fractures bone; MeSH Terms: equipment and supplies; pelvis; immobilization). Критерии включения публикаций в обзор: публикации, находящиеся в полнотекстовом доступе, на русском и английском языках, несущие статистически выверенные выводы. Критерии исключения: резюме докладов, газетные публикации, личные сообщения. Всего было найдено источников 5457, из которых для последующего анализа отобраны 76.
Результаты. Стабилизация таза осуществлялась долгое время лишь инвазивными методиками, внешними фиксаторами и С-зажимом (C-clamp) [27, 41, 44, 73, 74]. Согласно результатам систематического обзора, охватывающего публикации на английском языке с 1999 года по 2015 год, и др. авторам, эффективными в настоящее время являются неинвазивные тазовые компрессионные устройства [4, 19, 59, 64]. Из-за простоты их применения и возможности контролировать уровень сжатия компрессионные пояса являются предпочтительным методом ранней иммобилизации [9].
Выводы. Актуальным в наше время становится использование неинвазивных тазовых компрессионных устройств. Необходимы проспективные клинические исследования для оценки их клинической эффективности и безопасности.
Ключевые слова: epidemiology; pelvis; fractures bone; equipment and supplies; pelvis; immobilization.
Эльнара И. Эфендиева 1, https://orcid.org/0000-0003-4506-1619
Асылжан М. Месова 1, https://orcid.org/0000-0001-5373-0523
Ерсин Т. Жунусов 2, https://orcid.org/0000-0002-1182-5257
1 Кафедра скорой медицинской помощи,
2 Кафедра травматологии
Государственный медицинский университет города Семей,
г. Семей, Республика Казахстан
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Библиографическая ссылка
Библиографическая ссылка:
Эфендиева Э.И., Месова А.М., Жунусов Е.Т. Роль устройств для фиксации повреждений таза на догоспитальном и госпитальном этапах неотложной медицинской помощи. Обзор литературы / / Наука и Здравоохранение. 2018. 3 (Т.20). С. 99-110.
Efendiyeva E.I., Mesova A.M., Zhunusov Ye.T. The role of devices for fixation of pelvic injuries in the prehospital and hospital stages of emergency care. A literature review. Nauka i Zdravookhranenie [Science & Healthcare]. 2018, (Vol.20) 3, pp. 99-110.
Эфендиева Э.И., Месова А.М., Жунусов Е.Т. Жамбас жарақаттарын фиксациялауға арналған құрылғылардың шұғыл көмек көрсетудің ауруханаға дейінгі және ауруханалық кезеңіндегі маңыздылығы. Әдебиеттік шолу / / Ғылым және Денсаулық сақтау. 2018. 3 (Т.20). Б. 99-110.