首页|肋骨骨折切开复位内固定术治疗老年肋骨骨折的效果及对呼吸功能的影响

肋骨骨折切开复位内固定术治疗老年肋骨骨折的效果及对呼吸功能的影响

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目的:探讨老年肋骨骨折患者采用肋骨骨折切开复位内固定术治疗的效果及对呼吸功能的影响.方法:选取2021年5月~2023年9月本院收治的96例老年肋骨骨折患者,以随机数字表法分成研究组(n=48)与对照组(n=48),对照组给予胸带外固定后保守治疗,研究组给予肋骨骨折切开复位内固定术治疗,对两组临床指标、疼痛程度、呼吸功能及并发症进行比较.结果:研究组镇痛使用次数较对照组更少(P<0.05),下床活动时间、住院时间更短(P<0.05);两组术后7d视觉模拟评分法(VAS)评分降低(P<0.05),研究组较对照组更低(P<0.05);两组术后7d呼吸功能[用力肺活量(FVC)、第一秒用力呼气量(FEV1)、最大通气量(MVV)]提高(P<0.05),研究组较对照组更高(P<0.05);研究组并发症发生率为4.17%(2/48),较对照组的20.83%(10/48)更低(P<0.05).结论:肋骨骨折切开复位内固定术应用于老年肋骨骨折患者治疗中,能够改善临床指标,缓解疼痛程度,提高呼吸功能,减少并发症发生.
The Effect of Open Reduction and Internal Fixation for the Treatment of Elderly Rib Fractures and Its Impact on Respiratory Function
Objective:Explore the effectiveness of open reduction and internal fixation of rib fractures in elderly patients and its impact on respiratory function.Methods:A total of 96 elderly patients with rib fractures admitted to our hospital from May 2021 to September 2023 were selected and randomly divided into a study group(n=48)and a control group(n=48)using a random number table method.The control group received conservative treatment after external fixation with thoracic straps,while the study group received open reduction and internal fixation of rib fractures.The clinical indicators,degree of pain,respiratory function,and complications of the two groups were compared.Results:The study group used less pain relief than the control group(P<0.05),and had shorter time to get out of bed and stay in hospital(P<0.05);The visual analogue scale(VAS)score decreased 7 days after surgery in both groups(P<0.05),and the study group had a lower score than the control group(P<0.05);The respiratory function[forced vital capacity(FVC),forced expiratory volume in the first second(FEV1),and maximum ventilation volume(MVV)]improved 7 days after surgery in both groups(P<0.05),and the study group had higher respiratory function than the control group(P<0.05);The incidence of complications in the study group was 4.17%(2/48),which was lower than the control group's 20.83%(10/48)(P<0.05).Conclusion:The application of open reduction and internal fixation of rib fractures in the treatment of elderly rib fracture patients can improve clinical indicators,alleviate pain,improve respiratory function,and reduce complications.

open reduction and internal fixation of rib fractureselderly rib fracturesrespiratory function

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乐平市人民医院 (江西 乐平 333300)

肋骨骨折切开复位内固定术 老年肋骨骨折 呼吸功能

2024

中国医疗器械信息
中国医疗器械行业协会

中国医疗器械信息

影响因子:0.375
ISSN:1006-6586
年,卷(期):2024.30(16)