记忆合金肋骨环抱器治疗多发性肋骨骨折的临床效果  

Clinical effect of memory alloy rib encircling device in the treatment of multiple rib fractures

作　　者：彭勇 张广云 江振强 周衍彬 PENG Yong;ZHANG Guang-yun;JIANG Zhen-qiang;ZHOU Yan-bin(Department of Chest Surgery,Heyuan People′s Hospital,Guangdong Province,Heyuan 517000,China)

机构地区：[1]广东省河源市人民医院胸外科

出　　处：《中国当代医药》2019年第35期112-114,118,共4页China Modern Medicine

摘　　要：目的探讨记忆合金肋骨环抱器治疗多发性肋骨骨折的临床效果。方法选取2016年2月~2019年2月我院骨科收治的102例多发性肋骨骨折患者作为研究对象,根据随机数字表法分为对照组与观察组,每组各51例。对照组患者采用常规保守治疗,观察组患者采用记忆合金肋骨环抱器治疗,比较两组患者的骨折恢复效果、各项恢复指标、并发症总发生率、疼痛及肺功能情况。结果观察组患者的治疗优良率为96.08%,高于对照组的80.39%,差异有统计学意义(P<0.05);观察组患者的呼吸频率恢复时间、动脉血氧饱和度(SaO2)恢复时间、胸痛缓解时间、住院时间、骨折愈合时间均短于对照组,差异有统计学意义(P<0.05);观察组患者的并发症总发生率低于对照组,差异有统计学意义(P<0.05);观察组患者治疗后的视觉模拟量表(VAS)评分低于对照组,每分钟最大通气量百分比(MVV%)高于对照组,差异有统计学意义(P<0.05)。结论记忆合金肋骨环抱器治疗多发性肋骨骨折的临床效果显著,能够有效缩短胸痛持续时间,加快呼吸功能的恢复,促进骨折的早期愈合,降低并发症发生率,具有积极的临床意义。Objective To investigate the clinical effect of memory alloy rib encircling device in the treatment of multiple rib fractures.Methods From February 2016 to February 2019,102 patients with multiple rib fractures treated in orthopaedic department of our hospital were selected as the subjects,and divided into control group and observation group by random number table method,with 51 cases in each group.The control group used conventional conservative treatment,and the observation group given memory alloy frame around treatment.The recovery effect of fracture,the recovery index,total incidence of complications,pain and pulmonary function were compared between the two groups.Results The rate of excellent and good treatment was 96.08%,higher than 80.39%in the control group,and the difference was statistically significant(P<0.05).The recovery time of respiratory rate,arterial oxygen saturation(SaO2)recovery time,chest pain relief time,hospitalization time and fracture healing time in the observation group were shorter than those in the control group,and the differences were statistically significant(P<0.05).The total incidence of complications in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).After treatment,the visual analogue scale(VAS)score in the observation group was lower than that in the control group,and the percentage of maximum ventilation per minute(MVV%)in the observation group was higher than that in the control group,the differences were statistically significant(P<0.05).Conclusion The memory alloy rib enclasp has significant clinical effect in the treatment of multiple rib fractures,which can effectively shorten the duration of chest pain,accelerate the recovery of respiratory function,promote the early healing of fractures and reduce the incidence of complications,and has positive clinical significance.

关 键 词：多发性肋骨骨折 记忆合金肋骨环抱器 临床效果 

分 类 号：R683.1[医药卫生—骨科学]