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目的探讨肋骨骨折切开复位内固定术治疗重症胸外伤的临床效果。方法选取重庆市武隆区人民医院2015年2月—2016年1月收治的重症胸外伤患者48例,随机将所有患者分为保守治疗组与手术治疗组,各24例。保守治疗组予以保守治疗,手术治疗组予以肋骨骨折切开复位内固定术治疗。比较两组患者治疗效果、引流时间、住院时间、治疗后24 h及48 h视觉模拟评分法(VAS)评分及肺部炎症发生率。结果手术治疗组患者重治疗总有效率高于保守治疗组(P<0.05)。手术治疗组引流时间、住院时间短于保守治疗组(P<0.05)。手术治疗组治疗后24 h与48 h VAS评分低于保守治疗组(P<0.05)。手术治疗组患者肺部炎症发生率低于保守治疗组(P<0.05)。结论肋骨骨折切开复位内固定术治疗重症胸外伤的临床效果确切,可有效改善患者病情,减少肺部并发症发生,减轻患者痛苦,缩短引流和住院时间。
Objective To investigate the clinical effect of open reduction and internal fixation of rib fractures in the treatment of severe thoracic trauma. Methods Forty-eight cases of severe thoracic trauma admitted to the People’s Hospital of Wulong District in Chongqing from February 2015 to January 2016 were randomly divided into conservative treatment group and operation treatment group, with 24 cases in each group. Conservative treatment group to be conservative treatment, surgical treatment group to rib fractures open reduction and internal fixation. The curative effect, drainage time, length of hospital stay, visual analog scale (VAS) scores at 24 h and 48 h after treatment and the incidence of pulmonary inflammation were compared between the two groups. Results The total effective rate of intensive treatment in the surgical treatment group was higher than that in the conservative treatment group (P <0.05). The drainage time and hospital stay in the operation group were shorter than those in the conservative group (P <0.05). The VAS scores at 24 h and 48 h after surgery in the surgical treatment group were lower than those in the conservative treatment group (P <0.05). The incidence of pulmonary inflammation in the surgical treatment group was lower than that in the conservative treatment group (P <0.05). Conclusion The clinical effect of open reduction and internal fixation with rib fractures in the treatment of severe thoracic trauma is accurate, which can effectively improve the patient’s condition, reduce the incidence of pulmonary complications, reduce the suffering of patients and shorten the drainage and hospitalization time.