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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患者的临床效果。方法选取2013年1月至2015年12月河源市人民医院胸心外科收治的90例重症胸外伤患者作为研究对象,按随机数字表法将其分为观察组(46例)和对照组(44例)。观察组患者采用肋骨骨折切开复位内固定术进行治疗,对照组患者行保守疗法,比较两组患者疼痛程度、住院时间、止痛药物使用次数及并发症发生情况。结果术后2 h、24 h、48 h观察组患者的疼痛视觉模拟量表(VAS)评分均明显低于对照组,差异均有统计学意义(均P<0.05);观察组患者的住院时间明显短于对照组,止痛药物使用次数明显少于对照组,差异均有统计学意义(均P<0.05);观察组患者的并发症发生率明显低于对照组,差异有统计学意义(P<0.05)。结论肋骨骨折切开复位内固定术治疗重症胸外伤患者临床疗效显著,可有效减轻机体疼痛度,降低并发症发生率,促进患者早日康复。
Objective To investigate the clinical effect of open reduction and internal fixation of rib fractures in patients with severe thoracic trauma. Methods Ninety patients with severe traumatic thoracic trauma admitted from January 2013 to December 2015 in Hexin People’s Hospital were divided into observation group (46 cases) and control group (44 cases) according to random number table method example). Patients in the observation group were treated with open reduction and internal fixation of rib fractures. The patients in the control group underwent conservative treatment. The pain level, length of hospital stay, frequency of analgesic use and complication were compared between the two groups. Results The pain visual analog scale (VAS) scores in the observation group at 2 h, 24 h and 48 h after operation were significantly lower than those in the control group (all P <0.05). The hospital stay time Significantly shorter than the control group, the use of painkillers was significantly less than the control group, the differences were statistically significant (P <0.05); the incidence of complications in the observation group was significantly lower than the control group, the difference was statistically significant (P <0.05). Conclusion The treatment of severe thoracic trauma by rib fractures open reduction and internal fixation in patients with significant clinical curative effect, which can effectively reduce the body pain, reduce the incidence of complications and promote early recovery of patients.