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目的探究肋骨内固定术治疗重度胸部外伤的疗效。方法在2014年1月至2016年5月期间,选取漯河市医学高等专科学校第二附属医院收治的100例重度胸部外伤伴肋骨骨折患者,随机分为对照组(50例)与实验组(50例),对照组患者采用保守治疗,实验组患者采用微创肋骨内固定术治疗,对两组患者的治疗效果进行对比分析。结果两组患者治疗后VAS评分明显优于治疗前,且治疗后实验组患者VAS评分优于对照组,对比差异显著(P<0.05),具有统计学意义。实验组患者平均疼痛缓解时间为(2.6±0.4)d,平均住院时间为(15.2±4.3)d;对照组患者平均疼痛缓解时间为(5.1±0.9)d,平均住院时间为(24.6±5.7)d;对比差异显著(P<0.05),具有统计学意义。实验组患者并发症发生率为8.0%(4/50),对照组患者并发症发生率为18.0%(9/50),对比差异显著(P<0.05),具有统计学意义。结论在重度胸部外伤患者中,采用微创肋骨内固定术治疗,可以显著提高患者的治疗效果,缓解疼痛症状,促进患者生活质量的提高,有效的缩短治疗时间,减少并发症的发生,具有较高的临床应用价值。
Objective To investigate the curative effect of rib internal fixation on severe thoracic trauma. Methods From January 2014 to May 2016, 100 patients with severe thoracic trauma and rib fractures admitted to the Second Affiliated Hospital of Luohe Medical College were randomly divided into control group (50 cases) and experimental group (50 cases) Cases), the control group of patients with conservative treatment, the experimental group of patients treated with minimally invasive internal fixation with ribs, the treatment effect of the two groups were compared. Results The VAS scores of the two groups were significantly better than those before treatment. After treatment, the VAS score of the experimental group was better than that of the control group (P <0.05), which was statistically significant. The average duration of pain relief was (2.6 ± 0.4) days in the experimental group and (15.2 ± 4.3) days in the experimental group. The average pain relief time was (5.1 ± 0.9) days in the control group and (24.6 ± 5.7) d; the difference was significant (P <0.05), with statistical significance. The incidence of complications in the experimental group was 8.0% (4/50), while the incidence of complications in the control group was 18.0% (9/50). The difference was significant (P <0.05), with statistical significance. Conclusion In patients with severe thoracic trauma, minimally invasive internal fixation with rib can significantly improve the treatment effect, relieve the pain symptoms, improve the quality of life of patients, effectively shorten the treatment time and reduce the incidence of complications. High clinical value.