记忆金属胸部护板与传统固定方法治疗多发肋骨骨折的比较  

Memory metal chest shield versus traditional fixation method for multiple rib fractures

作　　者：刘青[1] 王波[1] 

机构地区：[1]成都市第五人民医院,四川省成都市611130

出　　处：《中国组织工程研究与临床康复》2010年第17期3197-3200,共4页Journal of Clinical Rehabilitative Tissue Engineering Research

基　　金：成都市第五人民医院配套经费~~

摘　　要：背景:以往肋骨骨折的患者给予止痛剂,或者用胸部外固定带,虽然减轻了疼痛,但是使呼吸状态变差。记忆金属胸部护板作为一种新产品被应用于临床为多发肋骨骨折患者减轻了痛苦,与传统方法相比具有很多优点。目的:比较应用记忆金属胸部护板与传统固定方法治疗多发肋骨骨折效果的差异。方法:纳入104例经胸部X射线证实的多发肋骨骨折患者,按照随机数字表法分为2组。对照组40例采用传统的固定方法,即胸带或胸带加厚棉垫;胸部护板组64例采用记忆金属胸部护板治疗。在治疗后1,24,48,72h记录两组患者在休息时及咳嗽时的目测类比评分、肺部并发症发生率以及住院时间差异。其中胸部护板组32例患者及对照组21例接受肺功能测试,分别记录治疗后1,24,48,72h的肺活量。结果与结论:胸部护板组患者在休息时疼痛强度降低,在强迫性呼吸时(如咳嗽)降低更明显。使用记忆金属护板的32例患者的肺活量在观察期间持续不断增加,肺部并发症发生率显著低于对照组,平均住院时间显著少于对照组(P<0.05)。提示记忆金属胸部护板对肋骨断裂的区域有固定效果,明显降低疼痛强度,增加肺活量,减少肺部并发症的发生,缩短平均住院时间,是一种简单有效的治疗多发肋骨骨折的方法。BACKGROUND：Rib fractures are frequently treated with analgesic or compression band,which relieves pain but attenuates respiration.Memory metal chest shield as a new product has been used clinically for patients with multiple rib fractures to alleviate the pain.It displays many advantages compared with traditional approaches.OBJECTIVE：To compare the effect of the memory metal chest shield versus the traditional fixation for multiple rib fractures.METHODS：A total of 104 patients with multiple rib fractures confirmed by transthoracic X-ray were selected and randomly divided into control group （n=40） treated with the traditional fixation methods （chest strap or a thick pad） and experimental group （n=64） treated with memory metal chest shield.At 1,24,48,and 72 hours after admission,the visual analog scale （VAS） at rest and cough,the incidence of pulmonary complications,and hospitalization were recorded.Of them,32 from the experimental and 21 from the control group received pulmonary function tests,and their vital capacity was recorded at 1,24,48,and 72 hours after treatment.RESULTS AND CONCLUSION：Pain intensity of experimental group was reduced at rest,while significantly reduced in forced breathing （such as cough）.Of the 32 patients with use of memory metal sheeting,vital capacity continuously increased during the observation period,but pulmonary complications were significantly less,and the average hospital stay was significantly less than the control group （P 0.05）.Results show that the memory metal shield displayed fixation effect on the area of broken ribs,which significantly reduced pain,increased lung capacity,reduced the incidence of pulmonary complications and shortened the average length of stay.It is a simple and effective method of treating multiple rib fractures.

关 键 词：多发肋骨骨折 传统方法 记忆金属胸部护板 疼痛强度 肺活量 

分 类 号：R318[医药卫生—生物医学工程]