81例肋骨骨折切开复位内固定手术疗效分析  

Efficacy analysis of open reduction internal fixation in 81 cases with rib fracture

作　　者：石勇[1] 阚奇伟[1] 刘泗军[1] 刘汉云[1] 催辉 郑磊[1] 胡祥[1] 

机构地区：[1]眉山市人民医院胸心外科,四川眉山620010

出　　处：《局解手术学杂志》2015年第4期414-416,共3页Journal of Regional Anatomy and Operative Surgery

摘　　要：目的探讨肋骨骨折切开复位内固定手术治疗的疗效。方法观察2012年4月至2014年4月行肋骨骨折切开复位内固定手术治疗的81例患者作为手术组,选择同期行保守治疗的37例肋骨骨折患者作为保守组比较,观察2组患者入院后疼痛评分变化趋势及相关临床指标的变化。结果手术组81例手术均顺利,术后恢复良好。术后疼痛评分、呼吸频率明显降低(P=0.000),氧饱和度明显升高(P=0.002),咳痰困难、呼吸困难及活动困难的比例明显降低(P<0.05)。手术组疼痛评分在入院第4天之后即手术高峰时段之后明显下降,而保守组疼痛评分总体下降缓慢。2组平均住院时间差异无统计学意义(P=0.084)。结论对于有明确手术指征的肋骨骨折行切开复位内固定手术治疗,其疗效迅速、显著;病程第4天为手术的最佳时机。Objective To investigate the effecacy of open reduction internal fixation in cases with rib fracture. Methods The pain scores,respiratory related clinical indicators change of 81 rib fractuure cases underwent open reduction internal fixation surgery were observed. A comparison was made between the surgical group and the non-surgical group of 37 cases on pain scores trend and hospital stay. Results All operations were successfully completed and postoperative recovery was good. Postoperative pain scores and respiratory rate was significantly lower（ P = 0. 000）,Oxygen saturation was significantly higher（ P = 0. 002）,the proportion of expectoration difficult,dyspnea and activities inconvenience were significantly lower（ P 〈0. 05）. Pain scores of surgical group significantly decreased after surgery peak hours that was the fourth day hospitalized,but the overall decline of pain scores in non-surgical group was slow. The hospital stay between the surgical group and the non-surgical group was not significantly different（ P = 0. 084）. Conclusion The efficacy of open reduction internal fixation is significant to rib fracture with exact surgery indications,and appropriate timing of surgery is the fourth day after admission.

关 键 词：肋骨骨折 切开复位内固定 疼痛评分 视觉模拟评分法 

分 类 号：R683.1[医药卫生—骨科学]