Clinical effect of thoracoscopy-based reduction and internal fixation in treatment of elderly patients with rib fracture
Objective To investigate the effects of thoracoscopy-based reduction and internal fixation in the rehabilitation process and functional recovery of elderly patients with rib fracture.Methods Eighty-five elderly patients with rib fracture were selected as the study objects,and divid-ed into control group(n=41,thoracotomy and internal fixation)and observation group(n=44,tho-racoscopy-based reduction and internal fixation)according to different treatment plans.The surgical indexes(oxygensaturation recovery time,respiratory rate recovery time,mechanical ventilation time,hos-pital stay and bone healing time),pain scores,lung function indexes[forced expiratory volume in one sec-ond(FEV1),forced vital capacity(FVC)and peak expiratory flow rate(PEF)],blood gas indexes { ar-terial partial pressure of oxygen[pa(O2)]and arterial partial pressure of carbon dioxide[pa(CO2)]},clinical efficacy and complication rate were compared between the two groups.Results The blood oxygen saturation recovery time,respiratory rate recovery time,thoracic drainage tube indwelling time,hos-pital stay time and fracture healing time in the observation group were significantly shorter than those in the control group,and the chest tube drainage volume was significantly less than that in the control group(P＜0.05).At the 7 days after operation,visual analogue scale(VAS)score and pa(CO2)level in the two groups were significantly lower than before surgery,and the observation group was sig-nificantly lower than the control group(P＜0.05).At 7 days after surgery,the levels of FE V1,FVC,PEF,FEV1/FVC and pa(O2)in the two groups were significantly higher than before surgery,and the observation group was significantly higher than the control group(P＜0.05).The total effective rate of the observation group was 93.18％,which was significantly higher than 78.05％of the control group(P＜0.05).The incidence of complications in the observation group was 4.55％,which was significantly lower than 9.51％in the control group(P＜0.05).Conclusion Thoracoscopy-based reduction and internal fixation in treatment of elderly patients with rib fracture has significant clinical efficacy,which can effectively shorten the rehabilitation process,relieve the pain of patients,and promote the recovery of lung function,with high safety.
thoracoscopyreduction and internal fixationrib fractures in the elderlylung functionbone healing
万方数据
维普
