多发性肋骨骨折患者79例疗效观察

Observation of curative effect for 79 patients with multiple rib fractures

目的探讨多发性肋骨骨折患者的治疗方法及其临床疗效。方法回顾性分析我院2010年3月至2015年3月收治的79例多发性肋骨骨折患者的临床资料,其中治疗组40例采取手术内固定术,对照组39例采取传统保守治疗。结果治疗组住院时间(11.8±3.5)d比对照组(17.8±5.0)d短,但差异无统计学意义;疼痛评分治疗组(3.57±1.17)分低于对照组(5.48±1.74)分,差异有统计学意义(P<0.05)。结论多发性肋骨骨折患者采取手术内固定术具有创伤恢复快,胸廓稳定性好,血气胸改善更快的特点,较传统保守治疗疼痛减轻明显。

Objective To discuss the treatment and the clinical effectiveness of patients who suffered multiple rib fractures.Methods Various clinical data were analyzed in 79 patients with multiple rib fractures during March 2010 to March 2015 in our department.In the treatment group,40 cases of surgical stabilization of rib fractures（SSRF）were performed,39 cases in the control group were treated by traditional conservative treatment.Results Duration of hospitalization in the treatment group were lower than those in the control group（11.8±3.5 vs 17.8±5.0）,but there was no statistical significance between groups.The pain scores of the treatment group was significantly lower than those of the control group（3.57±1.17 vs 5.48±1.74）.Conclusion Surgical stabilization of rib fractures is preferable to speedy recovery and chest wall is stability.Compared with traditional conservative treatment,the surgical patients in pain relief is more obvious.