肋骨骨折切开复位内固定术治疗重症胸外伤患者的临床效果  

Clinical Effect of Open Reduction and Internal Fixation of Rib Fracture on Patients with Severe Chest Trauma

作　　者：毕建东 BI Jiandong(Department of intensive care medicine,Kuandian central hospital,Dandong,Liaoning 118200)

机构地区：[1]宽甸中心医院重症医学科,辽宁丹东118200

出　　处：《中国伤残医学》2024年第2期66-69,共4页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的:探究肋骨骨折切开复位内固定术治疗重症胸外伤患者的临床效果。方法:选取2019年4月-2020年4月宽甸中心医院收治的78例重症胸外伤患者,按照随机数字表法分成研究组和参照组,各39例。其中参照组实施保守治疗;研究组实施肋骨骨折切开复位内固定术治疗。比较分析2组治疗后疼痛程度、总有效率、住院时间、止痛药物使用次数、生活质量及并发症总发生率。结果:治疗后2 h、24 h、48 h,研究组视觉模拟评分法(VAS)评分均低于参照组,差异均有统计学意义(P<0.05)。研究组住院时间短于参照组,研究组止痛药物使用次数少于参照组,差异均有统计学意义(P<0.05)。研究组并发症总发生率低于参照组,差异经有统计学意义(P<0.05)。研究组总有效率高于参照组,差异有统计学意义(P<0.05)。治疗后1周,研究组健康调查简表(SF-36)评分及治疗满意度均高于参照组,差异均有统计学意义(P<0.05)。结论:在重症胸外伤患者的治疗中应用肋骨骨折切开复位内固定术,能提升治疗效果,降低患者疼痛程度,缩短患者住院时间,减少止痛药物使用次数,降低并发症发生风险,还可以提高患者的生活质量及满意度。Objective:To explore the clinical effect of open reduction and internal fixation of rib fracture on patients with severe chest trauma.Methods:A total of 78 patients with severe chest trauma admitted to Kuandian Central Hospital from April 2019 to April 2020 were selected and divided into the study group and the reference group according to random number table method,with 39 cases in each group.The reference group received conservative treatment;the study group received open reduction and internal fixation for rib fractures.The pain degree,total effective rate,length of hospital stay,frequency of analgesic drug use,quality of life and total incidence of complications were compared between the two groups.Results:At 2,24 and 48 h after treatment,the visual analogue scale(VAS)scores of the study group were lower than those of the reference group,the differences were statistically significant(P<0.05).The length of hospital stay in the study group was shorter than that in the reference group,and the frequency of analgesic drug use in the study group was less than that in the reference group,the differences were statistically significant(P<0.05).The total complication rate of the study group was lower than that of the reference group,the difference was statistically significant(P<0.05).The total effective rate of the study group was higher than that of the reference group,the difference was statistically significant(P<0.05).1 week after treatment,the MOS item short from health survey(SF-36)score and treatment satisfaction of the study group were higher than those of the reference group,the differences were statistically significant(P<0.05).Conclusion:The application of open reduction and internal fixation of rib fracture in the treatment of patients with severe chest trauma can improve the treatment effect,reduce the degree of pain,shorten the length of hospital stay,reduce the number of analgesic drugs,reduce the risk of complications,and improve the quality of life and satisfaction of patients.

关 键 词：肋骨骨折 重症胸外伤 切开复位内固定 疼痛 住院时间 并发症 

分 类 号：R683.1[医药卫生—骨科学]