肋骨骨折切开复位内固定术治疗重症胸外伤肋骨骨折的效果分析

Therapeutic Effect of Open reduction and internal fixation(ORIF)in Rib Fracture Surgery in patient with Severe Tho⁃racic Trauma

目的:分析肋骨骨折切开复位内固定术治疗重症胸外伤肋骨骨折的效果。方法:选取2022年2月—2023年2月贵州水矿控股集团有限责任公司总医院收治的重症胸外伤肋骨骨折患者82例为研究对象,根据随机数字表法分为研究组与对照组,各41例。对照组采取传统保守治疗,研究组采取肋骨骨折切开复位内固定术治疗。比较两组患者手术效果、临床指标、疼痛评分、并发症发生情况。结果:研究组治疗总有效率高于对照组,差异有统计学意义(P=0.03);研究组治疗后开始下床活动时间、住院时间、骨愈合时间短于对照组,镇痛药使用频率低于对照组,差异有统计学意义(P<0.01);术后2、48、72 h,研究组疼痛评分均低于对照组,差异有统计学意义(P<0.01);研究组并发症发生率低于对照组,差异有统计学意义(P=0.03)。结论:肋骨骨折切开复位内固定术治疗重症胸外伤肋骨骨折效果确切,可加快骨愈合,缩短住院时间,术后疼痛感小,并发症发生风险低,手术方法安全。

Objective:To explore the therapeutic effect of open reduction and internal fixation in rib fracture surgeries on patients with severe thoracic trauma.Methods:82 patients with rib fractures due to severe thoracic trauma admitted to the General Hospital of Guizhou Water and Mining Holding Group from February 2022 to February 2023 were selected as the study subjects,and were divided into the study group and the control group according to the method of randomized numerical table,each with 41 cases.The control group was treated with conventional conservative therapy,and the study group with ORIF.The following indexes were compared between the two groups:surgical results,perioperative factors,pain scale scores,and the occurrence of complications.Results:The total effective rate of treatment in the study group was higher than that in the control group,and the difference was statistically significant(P=0.03);postoperative off-bed time,hospitalization duration,and osteogenesis time in the study group were shorter than those in the control group,and the frequency of analgesic use was lower than that in the control group,and the difference was statistically significant(P<0.01);the pain scaled scores of the study group were lower than that of the control group 2 hours,48 hours,and 72 hours after surgical operation,and the difference was statistically significant(P<0.01);the complication rate of the study group was lower than that of the control group,and the difference was statistically significant(P=0.03).Conclusion:ORIF in rib fracture surgery of severe thoracic trauma shows effective with lesser complications,which can accelerate bone healing,shorten the hospital stay duration and lead to less postoperative pain.