多发性肋骨骨折手术和非手术治疗的疗效对比研究

A Comparative Study of the efficacy of multiple rib fractures with surgical and non-surgical treatment

目的分析探讨手术和非手术方法治疗多发肋骨骨折的临床效果。方法选取2011年6月至2014年6月本院多发性肋骨骨折患者126例,根据治疗方法不同将所有病例随机平分为观察组和对照组,分别行手术治疗和非手术治疗。治疗后观察两组病例观察两组病例下地功能锻炼时间、住院时间、骨折愈合时间、视觉模拟评分（VAS）、CRP测定、肋骨骨折治疗疗效评估及术后并发症发生情况。结果通过上门或电话方式行2~24个月随访,平均（13.72±2.53）个月。观察组在治疗后下床功能锻炼时间、住院时间、骨折愈合时间均明显优于对照组,比较具有统计学意义,P〈0.05。观察组治疗后视觉模拟评分（VAS）、CRP测定参数、治疗疗效评估均显著优于对照组,改善明显,比较具有统计学意义,P〈0.05。观察组治疗后并发症发生率低于对照组,比较具有统计学意义,P〈0.05。结论采用手术方法治疗多发肋骨骨折,可有效缩短下地功能锻炼时间、住院时间及骨折愈合时间,治疗后疼痛缓解更快,临床疗效显著,并发症发生率低,适合临床广泛应用。

Objective To investigate the clinical results of surgical and non-surgical methods for treating multiple rib fractures respectively.Methods 126 cases of patients with multiple rib fractures admitted in our hospital from June 2011 to June 2014 were selected.According to the different therapies,all patients were randomly and equally divided into the observation group and control group,performing surgery and non-surgical treatment,respectively.After treatment,the ambulation functional exercise time,hospitalization time,fracture healing time,visual analog scale（VAS）,CRP measurement,rib fractures therapy assessment and postoperative complications were observed.Results 2~24 months of follow-up was performed by home visits or telephone,with an average of（13.72±2.53） months.The ambulation functional exercise time,hospitalization time and fracture healing time in the observation group after treatment were significantly shorter than those in the control group,and the comparison was statistically significant,P〈0.05.Visual analog scale（VAS）,CRP measured parameters and treatment efficacy evaluation in the observation group after treatment were significantly better than those in the control group,with significant improvement,and the comparison was statistically significant,P〈0.05.The incidence of complications in the observation group after treatment was lower than that in the control group,and the comparison was statistically significant,P〈0.05.Conclusion The surgical treatment of multiple rib fractures can effectively shorten the ambulation functional exercise time,hospitalization time and fracture healing time,with faster pain relief,significant clinical efficacy,and low complication rate.It is suitable for a wide range of clinical applications.