摘要
目的探讨切开复位内固定术在胸外伤合并肋骨骨折治疗中的效果。方法回顾性分析广东省英德市人民医院2015年12月-2018年12月收治的60例胸外伤合并肋骨骨折患者临床资料,根据患者治疗方式的不同分为对照组(n=30)与观察组(n=30),对照组为常规保守治疗,观察组为切开复位内固定治疗,观察两组临床治疗指标、肺功能指标及其他监测指标、肺部感染情况差异。结果观察组治疗2d、3d后的VAS评分均显著低于对照组(P<0.05),止痛用药次数少于对照组(P<0.05),住院时间短于对照组(P<0.05);治疗2d后,两组肺功能指标最大自主呼气容积(MVV)、其他监测指标血氧分压(PaO2)水平均明显提高(P<0.05),RR水平明显降低(P<0.05),且观察组变化幅度更大(P<0.05);治疗前后,两组1s用力呼气容积(FEV1)组内、组间比较差异均无统计学意义(P>0.05);观察组肺部感染发生率显著低于对照组(P<0.05)。结论切开复位内固定治疗有利于减少胸外伤合并肋骨骨折患者疼痛,改善肺功能与呼吸通气,减少肺部感染。
Objective To explore the effects of open reduction and internal fixation in the treatment of thoracic trauma with rib fractures.Methods The clinical data of 60 patients with thoracic trauma complicated with rib fractures admitted to People's Hospital of Yingde City,Guangdong Province from December 2015 to December 2018 were retrospectively analyzed.According to the different treatment methods,the patients were divided into control group(n=30)and observation group(n=30).Control group was treated with conventional conservative treatment,and observation group was treated with open reduction and internal fixation.The clinical treatment indexes,lung function indexes,other monitoring indexes and lung infection were observed in the two groups.Results The VAS scores in observation group after 2d and 3d of treatment were significantly lower than those in control group(P<0.05),and the frequency of pain medications was less than that in control group(P<0.05),and the hospital stay was shorter than that in control group(P<0.05).After 2d of treatment,the lung function index of maximum voluntary expiratory volume(MVV)and the other monitoring index of partial pressure of blood oxygen(PaO2)were significantly increased in the two groups(P<0.05)while the RR level was significantly decreased(P<0.05),and the changes were larger in observation group(P<0.05).There was no significant difference in the forced expiratory volume in 1s(FEV1)within the groups before and after treatment and between the two groups(P>0.05).The incidence rate of lung infection in observation group was significantly lower than that in control group(P<0.05).Conclusion Open reduction and internal fixation is beneficial to reduce pain,improve lung function and respiratory ventilation,and reduce lung infection in patients with thoracic trauma and rib fractures.
作者
吴家宝
钟金慧
林元沛
邓江波
张名文
WU Jia-bao;ZHONG Jin-hui;LIN Yuan-pei(Department of Thoracic Surgery,People’s Hospital of Yingde City,Qingyuan 513000,Guangdong Province,China)
出处
《罕少疾病杂志》
2019年第6期68-70,共3页
Journal of Rare and Uncommon Diseases
关键词
切开复位内固定
胸外伤
肋骨骨折
Open Reduction and Internal Fixation
Thoracic Trauma
Rib Fractures
