硬膜外麻醉下可吸收肋骨钉在多发性肋骨骨折治疗中的应用效果观察  

Observation of the Effect of Absorbable Rib Nails Under Epidural Anesthesia in the Treatment of Multiple Rib Fractures

作　　者：郎丹 LANG Dan(Anesthesia Department,Fengcheng Central Hospital,Liaoning Province,Liaoning Fengcheng 118100)

机构地区：[1]辽宁省凤城市中心医院麻醉科,辽宁凤城118100

出　　处：《中国医疗器械信息》2021年第22期171-173,共3页China Medical Device Information

摘　　要：目的:观察多发性肋骨骨折采用可吸收肋骨钉治疗的临床效果。方法:将40例记忆合金接骨板治疗(对照组)及40例可吸收肋骨钉固定治疗(观察组)做回顾性分析,比较手术情况、术后恢复、手术并发症组间差异。结果:对照组手术耗时平均(103.46±16.52)min,术中出血量平均(170.43±21.77)mL;观察组手术耗时平均(101.84±15.93)min,术中出血量平均(97.62±19.63)mL;手术耗时组间对比无明显差异(t=3.554,P=1.263>0.05);观察组术中出血量、胸痛缓解时间、下床活动时间分别为(97.62±19.63)mL、(1.52±0.74)h、(3.30±0.49)h,数据显著低于对照组(P<0.05);对照组术后并发症总发生率为20%,观察组为7.5%,组间差异显著(P<0.05)。结论:硬膜外麻醉下采用可吸收肋骨钉治疗多发性肋骨骨折相较于记忆合金接骨板治疗而言在控制术中出血量、术后减轻疼痛、尽早下床、控制并发症方面更具优势。Objective:To observe the clinical effect of absorbable rib nails in the treatment of multiple rib fractures.Methods:40 cases of memory alloy bone plate(control group)and 40 cases of absorbable rib nail fixation(observation group)were retrospectively analyzed,and the differences of operation,postoperative recovery and surgical complications were compared between the groups.Results:In the control group,the average operation time was(103.46±16.52)min,and the average intraoperative blood loss was(170.43±21.77)mL.The average operation time of the observation group was(101.84±15.93)min,and the average intraoperative blood loss was(97.62±19.63)mL.There was no significant difference in operation time between groups(t=3.554,P=1.263>0.05).Intraoperative blood loss,chest pain relief time and ambulation time in the observation group were(97.62±19.63)mL,(1.52±0.74)h and(3.30±0.49)h,respectively,which were significantly lower than those in the control group(P<0.05).The total incidence of postoperative complications was 20%in the control group and 7.5%in the observation group,and the difference was significant(P<0.05).Conclusion:Compared with memory alloy bone plate,absorbable rib nails have more advantages in controlling intraoperative blood loss,relieving postoperative pain,getting out of bed as soon as possible and controlling complications in multiple rib fractures under epidural anesthesia.

关 键 词：肋骨骨折 可吸收肋骨钉 并发症 

分 类 号：R764.21[医药卫生—耳鼻咽喉科]