探讨手术内固定对老年多发性肋骨骨折患者肺功能的影响

Exploration surgical fixation effect on lung function in elderly patients with multiple fractured ribs

目的：探讨手术内固定对老年多发性肋骨骨折患者肺功能的影响。方法：以2013年2月～2015年2月本院收治的88例老年多发性肋骨骨折患者为研究对象，将其按照住院先后顺序分为研究组与对照组。给予对照组患者胸廓外固定进行治疗，同时给予研究组患者可吸收髓内钉内固定进行治疗。对比分析2组患者治疗效果。结果：研究组患者肋骨复位优良率为97．7％（43／44），明显高于对照组的75．0％（33／44），二者有显著性差异（P＜0．05）；研究组最大自主通气量明显高于对照组，二者有显著性差异（P＜0．05）；研究组患者住院时间、自主下床时间、疼痛评分均少于对照组，二者有显著性差异（P＜0．05）；研究组患者住院费用高于对照组，二者有显著性差异（ P＜0．05）。结论：可吸收髓内钉内固定在老年多发性肋骨骨折患者中有着较好的应用效果，能改善患者肺功能，提升其生活质量，是一种安全有效的多发性肋骨骨折治疗方法，值得进行深入研究和推广。

Objective：To study the surgical fixation effect on lung function in elderly patients with multiple fractured ribs.Methods：In February 2013 and 2015, 2 in the hospital from June 88 cases of senile multiple rib fracture patients as the research object, the se-quence is divided into the study group and the control group following hospitalization.Given to the control group patients with thoracic fixa-tion for treatment, while giving the study group patients with absorbable intramedullary nail internal fixation.To compare and analyze the therapeutic effect of the two groups.Results：Patients in the study group of rib reduction and the excellent and good rate was 97.7%（43/44）, was significantly higher than that in control group （75.0%） （33/44）, with significant difference （P 〈0.05）;group of maximal voluntary ventilation was significantly higher than that in control group ,with significant difference （P 〈0.05）;hospitalization time of the patients in the study group, independent ambulation time, pain scores were lower than those in the control group, with significant differ-ence （P 〈0.05）.The patients in the study group hospitalization expenses is higher than that of the control group, the two have signifi-cant difference （ P 〈0.05） .Conclusion：The absorption of intramedullary nail fixed in the old multiple rib fracture patients should have a good application effect, improve lung function in patients, improve the quality of life, might be a safe and effective multiple rib fracture treatment, worthy of in-depth research and promotion.