肋骨骨折切开复位内固定术与保守治疗对重症胸外伤患者的治疗效果观察

Clinical Comparison of Open Reduction and Internal Fixation for Rib Fracture with Conservative Treatment in the Treatment of Severe Thoracic Trauma

目的探讨肋骨骨折切开复位内固定术与保守治疗在重症胸外伤治疗中的临床效果比较。方法选取2015年12月至2018年12月到山东省聊城市东昌府人民医院进行重症胸外伤疾病治疗的患者100例,随机分为两组,每组患者各50例,编号为实验组和对照组,对照组患者使用保守治疗的方法,实验组患者使用肋骨骨折切开复位内固定术治疗的方法对患者进行治疗,记录两组患者治疗前后不同时间点的疼痛状况,对患者疼痛情况进行评分,使用目测类比评分法(VAS),对两组患者治疗后并发症情况进行统计,对比两组患者并发症发生率。对两组患者治疗有效率进行分析。结果两组患者在住院初期,疼痛评分相近,在治疗3 d后以及治疗7 d后,对照组患者疼痛减轻效果较差,实验组患者疼痛评分有明显的减少,两组数据具有统计学差异(t=0.735、4.382、5.723,P<0.05),对照组患者并发症发生例数为17例,实验组患者并发症发生例数为3例,实验组患者并发症发生率远远低于对照组(χ2=12.25,P<0.05)。对照组患者治疗无效例数为13例,实验组为2例,实验组治疗总有效率为96.00%,远远高于对照组74.00%。两组数据对比具有显著性差异(χ2=9.49,P<0.05)。结论使用肋骨骨折切开复位内固定术方法,对重症胸外伤患者进行治疗,具有良好的治疗效果,临床推荐使用该方法对重症胸外伤患者进行治疗。

Objective To compare the clinical effects of open reduction and internal fixation of rib fracture with conservative treatment in the treatment of severe thoracic trauma.Methods 100 patients with severe thoracic trauma treated in Dongchangfu People's Hospital of Liaocheng City,Shandong Province from December 2015 to December 2018 were randomly divided into two groups:50 patients in each group,numbered as experimental group and control group.Patients in control group were treated with conservative treatment,while patients in experimental group were treated with open reduction and internal fixation of rib fracture.To record the pain situation of two groups at different time points before and after treatment,to score the pain situation of patients,using visual analogy score(VAS),to statistics the complications of two groups of patients after treatment,and to compare the incidence of complications of two groups of patients.The treatment efficiency of two groups of patients was analyzed.Results The pain scores of the two groups were similar at the initial stage of hospitalization.After 3 days of treatment and 7 days of treatment,the pain relief effect of the control group was poor.The pain scores of the experimental group were significantly reduced.There were statistical differences between the two groups(t=0.735,4.382,5.723,P<0.05).The number of complications in the control group was 17,and that in the experimental group was 3.The incidence of complications in the experimental group was much lower than that in the control group(χ2=12.25,P<0.05).The total effective rate was 96.00%in the experimental group,which was much higher than 74.00%in the control group.There was significant difference between the two groups(χ2=9.49,P<0.05).Conclusion Open reduction and internal fixation of rib fracture is a good method for the treatment of severe thoracic trauma.It is recommended to use this method for the treatment of severe thoracic trauma.