胸腔镜镍钛记忆合金环抱器内固定对多发性肋骨骨折患者的影响  

Effect of Thoracoscopy Nickel-titanium Memory Alloy Annular Apparatus Internal Fixation on Patients with Multiple Rib Fractures

作　　者：高健 杨晓松[1] GAO Jian;YANG Xiaosong(The Second Affiliated Hospital of Bengbu Medical College,Bengbu 233000,China;不详)

机构地区：[1]蚌埠医学院第二附属医院,安徽蚌埠233000

出　　处：《中外医学研究》2023年第26期53-56,共4页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:探讨胸腔镜镍钛记忆合金环抱器内固定对多发性肋骨骨折患者的影响。方法:选取2021年5月—2022年8月蚌埠医学院第二附属医院收治的84例多发性肋骨骨折患者。根据随机数表法将其分为对照组和观察组,各42例。对照组采取保守治疗,观察组在对照组基础上给予胸腔镜镍钛记忆合金环抱器内固定治疗。比较两组临床疗效,康复情况,术前、术后12 h、7 d的疼痛程度,术前与术后7 d肺功能及并发症。结果:观察组总有效率高于对照组,差异有统计学意义(P<0.05)。观察组术后下床时间、呼吸机使用时间、骨折愈合时间、住院时间均短于对照组,差异有统计学意义(P<0.05)。术后12 h、7 d,两组视觉模拟评分法(visual analogue scale,VAS)评分较术前降低,且观察组VAS评分低于对照组,差异有统计学意义(P<0.05)。术后7 d,两组最大自主通气量(maximal voluntary ventilation,MVV)占预计值的百分比(the value of the estimated percentage of the maximal voluntary ventilation,MVV%pred)均升高,观察组高于对照组,差异有统计学意义(P<0.05),两组术后7 d第1秒用力呼气容积(forced expiratory volume in one second,FEV_(1))占预计值的百分比(the value of the estimated percentage of the forced expiratory volume in one second,FEV_(1)%pred)比较,差异无统计学意义(P>0.05)。观察组并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论:胸腔镜镍钛记忆合金环抱器内固定应用于多发性肋骨骨折患者,可提高患者疗效,促进患者术后康复,减轻患者疼痛,降低并发症发生率。Objective:To investigate the effect of thoracoscopy nickel-titanium memory alloy annular apparatus internal fixation on patients with multiple rib fractures.Method:A total of 84 patients with multiple rib fracture admitted to the Second Affiliated Hospital of Bengbu Medical College from May 2021 to August 2022 were selected.According to random number table method,they were divided into control group and observation group,42 cases in each group.The control group received conservative treatment,and the observation group received thoracoscopy nickel-titanium memory alloy annular apparatus internal fixation on the basis of control group.The clinical efficacy,recovery status,pain degree before surgery,12 h and 7 d after surgery,lung function before and 7 d after surgery and complications were compared between the two groups.Result:The total effective rate of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).The time of getting out of bed,the time of ventilator use,the time of fracture healing and the time of hospitalization in the observation group were shorter than those in the control group,and the differences were statistically significant(P<0.05).At 12 h and 7 d after surgery,the visual analogue scale(VAS)score of the two groups were lower than those before surgery,and the VAS score of the observation group were lower than those of the control group,and the differences were statistically significant(P<0.05).At 7 d after surgery,the percentage of maximal voluntary ventilation(MVV)to the predicted value(MVV%pred)increased in both groups,and the observation group was higher than the control group,and the differences were statistically significant(P<0.05).There was no significant difference between the two groups in the percentage of forced expiratory volume in one second(FEV_(1))to the predicted value(FEV_(1)%pred)at 7 d after surgery(P>0.05).The incidence of complications in the observation group was lower than that in the control group,the diffe

关 键 词：胸腔镜 镍钛记忆合金环抱器内固定 多发性肋骨骨折 

分 类 号：R687.3[医药卫生—骨科学]