摘要
目的：探究重症胸外伤患者采用肋骨骨折切开复位内固定术治疗的效果。方法选取2013年1月至2015年1月符合研究标准的重症胸外伤患者110例，根据治疗方式不同分为固定组和对照组，每组55例。对照组采用保守治疗，固定组采用肋骨骨折切开复位内固定术治疗，采用 VAS 评分量表评估两组患者入院时、术后不同时间点疼痛情况，并采用统计学 SPSS 20.0软件对比两组住院时间、镇静药物用量及术后肺部并发症发生情况。结果两组入院治疗后疼痛情况均随时间的延长呈逐渐下降趋势，固定组下降更为明显，且固定组术后3 h、1 d、2 d、3 d 疼痛评分明显低于对照组，差异有统计学意义（P ＜0.05）；固定组镇静药物用量及住院时间较对照组明显降低，差异有统计学意义（P ＜0.05）；固定组肺部并发症发生率较对照组明显降低，差异有统计学意义（P ＜0.05）。结论重症胸外伤患者采用肋骨骨折切开复位内固定术治疗效果显著，能有效缓解患者疼痛，降低术后肺部并发症发生率及镇静药物用量，且具有较高的安全性，值得推广。
Objective To investigate the effect of open reduction and internal fixation on severe thoracic trauma patients with rib fracture. Methods One hundrad and ten patients with severe thoracic trauma from January 2013 to January 2015 were selected,and were divided into fixation group and control group according to the treatment method,with 55 cases in each group. The control group was treated by conservative treatment,and the fixation group was treated by open reduction and internal fixation for rib fracture. VAS rating scale was used to evaluate the pain of two groups of patients at different time points after admission. SPSS 20. 0 software was used to compare the length of stay,the dosage of sedative drugs and the incidence of postoperative pulmonary complications in the two groups. Results After treatment, pain showed a trend of gradual decline with time prolong,fixation group decreased more significantly, and the pain score in the fixation group 3 h,1 d,2 d,3 d postoperative was significantly lower than that in the control group（P 〈 0. 05）. In the fixation group,the dosage of sedative drugs and the length of stay were significantly lower than those in the control group（ P 〈 0. 05）;the incidence of pulmonary complications of the fixed group was significantly lower than that of the control group,the difference was significant（P 〈 0. 05）. Conclusions Open reduction and internal fixation of rib fracture in patients with severe thoracic trauma can effectively reduce the pain of patients, the incidence of pulmonary complications postoperative and sedative drug dosage,and has a high safety,so it is worth promoting.
出处
《中国实用医刊》
2017年第3期52-55,共4页
Chinese Journal of Practical Medicine
关键词
重症胸外伤
镇静
肋骨骨折切开复位内固定术
肺部并发症
Severe chest trauma
Sedation
Open reduction and internal fixation of rib fractures
Pulmonary complications
