保留肋骨骨膜肋骨内固定术对多发性肋骨骨折患者疼痛程度的影响  

Effect of rib preserving periosteum internal fixation on pain degree of patients with multiple rib fractures

作　　者：彭兵锋 PENG Bingfeng(Department of Cardiothoracic Surgery,Yingtan City People's Hospital,Yingtan,Jiangxi,335000,China)

机构地区：[1]鹰潭市人民医院心胸外科,江西鹰潭335000

出　　处：《当代医学》2022年第18期110-113,共4页Contemporary Medicine

摘　　要：目的 探讨保留肋骨骨膜肋骨内固定术对多发性肋骨骨折患者疼痛程度的影响。方法 选取2016年1月至2019年12月本院收治的80例多发性肋骨骨折患者作为研究对象,按照随机数字表法分为两组,各40例。观察组采用保留肋骨骨膜肋骨内固定术治疗,对照组采用剥离肋骨骨膜内固定术治疗,比较两组临床指标、手术前后视觉模拟评分法(VAS)评分及并发症发生情况。结果 观察组术中出血量少于对照组,手术时间及住院时间均短于对照组(P<0.05)。术后7 d,两组VAS评分均低于术前,且观察组低于对照组(P<0.05)。观察组并发症发生率为5.00%,低于对照组的22.50%,差异有统计学意义(P<0.05)。结论 多发性肋骨骨折患者采用保留肋骨骨膜肋骨内固定术治疗的创伤较小,可有效缓解患者术后疼痛,且并发症较少,利于患者术后恢复。Objective To expore the effect of rib preserving periosteum internal fixation on pain in patients with multiple rib fractures.Methods 80patients with multiple rib fractures who were treated in our hospital from January 2016 to December 2019 were selected as the research subjects,and they were divided into two groups according to the random number table method,with 40 cases in each group.The observation group was treated with rib preserving periosteum internal fixation,and the control group was treated with rib-stripping periosteum internal fixation,the clinical indicators,visual analogue scale(VAS) scores before and after surgery and the incidence of complications were compared between the two groups.Results The intraoperative blood loss in the observation group was less than that in the control group,and the operation time and hospital stay were shorter than those in the control group(P<0.05).At 7 d after operation,the VAS scores of the two groups were lower than those before operation,and the observation group was lower than the control group(P<0.05).The incidence of complications in the observation group was 5.00%,which was lower than22.50% in the control group,and the difference was statistically significant(P<0.05).Conclusion In patients with multiple rib fractures,the rib preserving periosteum internal fixation has less trauma,can effectively relieve postoperative pain,and has fewer complications,which is beneficial to patients’ postoperative recovery.

关 键 词：多发性肋骨骨折 保留肋骨骨膜肋骨内固定术 视觉模拟评分法 并发症 

分 类 号：R687.3[医药卫生—骨科学]