泰州职业技术学院学报2024,Vol.24Issue(1) :64-67.

多发肋骨骨折保守治疗与环抱器外科手术治疗的疗效对比研究

A Comparative Study on the Clinical Effects of Patients with Multiple Rib Fractures Treated with Conservative Treatment and Circumferential Device Surgery

宋猛 戴冬阳 夏万青
泰州职业技术学院学报2024,Vol.24Issue(1) :64-67.

多发肋骨骨折保守治疗与环抱器外科手术治疗的疗效对比研究

A Comparative Study on the Clinical Effects of Patients with Multiple Rib Fractures Treated with Conservative Treatment and Circumferential Device Surgery

宋猛 1戴冬阳 1夏万青1
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作者信息

  • 1. 泰州市中西医结合医院 胸外科,江苏 泰州 225300
  • 折叠

摘要

目的 研究多发肋骨骨折患者采用保守治疗和环抱器外科手术治疗的临床效果.方法 将我院2019年1月~2023年5月期间收治的76例多发肋骨骨折患者采用随机分组方式分为保守组和手术组,比较两组患者的临床治疗效果.结果 两组患者治疗前视觉模拟评分(VAS)差异无统计学意义(P>0.05),治疗后1d和治疗后3d,手术组患者的续期指标改善情况显著优于保守组(P<0.05),保守组VAS评分改善情况显著优于手术组(P<0.05),手术组并发症发生率显著低于保守组(P<0.05),手术组镇痛药物使用时间显著低于保守组,但住院时间和治疗费用显著高于保守组(P<0.05).结论 通过环抱器固定术进行多发肋骨骨折患者的治疗能够提升患者的康复效果、有效降低并发症的发生率,使患者能够更好地康复.

Abstract

Objective To study the clinical effects of patients with multiple rib fractures treated with conservative treatment and circumferential device surgery.Methods Seventy-six patients with multiple rib fractures admitted to our hospital during the period from January 2019 to May 2023 were divided into conservative and surgical groups using randomized grouping,and the clinical treatment effects of the two groups were compared.Results The difference in VAS scores between the two groups of patients before treatment was not statistically significant(P>0.05),the improvement of the renewal indexes of patients in the surgical group was significantly better than that of the conservative group in the 1d and 3d after treatment(P<0.05),the improvement of VAS scores of the conservative group was significantly better than that of the surgical group(P<0.05),and the incidence of compli-cations in the surgical group was significantly lower than that of the conservative group(P<0.05);in the surgical group the duration of analgesic drug use was significantly lower than that of the conservative group,but the hos-pitalization time and treatment cost were significantly higher than that of the conservative group(P<0.05).Con-clusion The treatment of patients with multiple rib fractures through circumferential device fixation can improve the rehabilitation effect of patients,effectively reduce the incidence of complications,and enable patients to re-cover better.

关键词

多发肋骨骨折/保守治疗/环抱器外科手术/纯钛爪型肋骨接骨板/临床疗效

Key words

multiple rib fractures/conservative treatment/ring hugger surgery/pure titanium claw-type rib bone splint/clinical efficacy

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出版年

2024
泰州职业技术学院学报
泰州职业技术学院

泰州职业技术学院学报

影响因子:0.285
ISSN:1671-0142
参考文献量10
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