新型微创外固定支架在肋骨骨折病人中的临床应用

于超; 郭亮; 张世琼; 张祖旺

doi:10.13898/j.cnki.issn.1000-2200.2022.03.011

新型微创外固定支架在肋骨骨折病人中的临床应用

Clinical application of new minimally invasive external fixation stent in the treatment of rib fractures

摘要

摘要:
目的探索新型微创外固定支架在肋骨骨折病人(骨折数 < 3根)中的临床疗效。
方法选取24例肋骨骨折(骨折数 < 3根)病人，按随机数字表法分为观察组和对照组，观察组采用新型微创外固定支架治疗，对照组采用保守治疗。比较2组病人镇痛药物用量、胸痛VAS评分和并发症发生情况。
结果观察组病人术后15 d的镇痛药物用量少于对照组(P < 0.05)。2组病人术后5、10、15 d VAS评分均明显下降，且术后VAS评分明显低于术前(P < 0.01)。观察组术后5、10 d VAS评分低于对照组(P < 0.05)。2组病人均未发生局部感染、肺部感染、血气胸等。
结论新型微创外固定支架治疗肋骨骨折(骨折数 < 3根)创伤小，可缓解病人疼痛，减少镇痛药物用量，实用性强。

Abstract:
ObjectiveTo explore the clinical application of a new minimally invasive external fixation stent in the treatment of rib fractures(fracture number < 3).
MethodsThe clinical data of 24 patients with rib fractures(fracture number < 3)were analyzed.The patients were randomly divided into the observation and control group.The observation group was treated with new minimally invasive external fixation stent, while the control group was treated with conservative method.The analgesic drug dosage, chest pain VAS score and complications were compared between two groups.
ResultsThe analgesic drug dosage in observation group after 15d of operation was significantly lower than that in control group(P < 0.05).The VAS scores in two gorups after 5, 10 and 15d of operation significantly decreased, and the postoperative VAS scores in two groups were significnatly lower than that before opertaion(P < 0.01).The VAS scores in observation group were lower than those in control group after 5 and 10d of operation(P < 0.05).No local infection, pulmonary infection, hemopneumothorax occurred in two groups.
ConclusionsThe treatment of rib fractures(fracture number < 3)with new minimally invasive external fixation stent is effective with small trauma, which can relieve the pain of patients, and reduce the dosage of analgesic drug.

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