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经肋骨骨折切开复位内固定术治疗重症胸外伤对肺部并发症的影响

杨鹏 付爱情 黄斌 胡伟 娄强 熊鸣

中国医学创新2024,Vol.21Issue(17):67-70,4.
中国医学创新2024,Vol.21Issue(17):67-70,4.DOI:10.3969/j.issn.1674-4985.2024.17.016

经肋骨骨折切开复位内固定术治疗重症胸外伤对肺部并发症的影响

Effect of Open Reduction and Internal Fixation Through Rib Fracture on Pulmonary Complications in the Treatment of Severe Chest Trauma

杨鹏 1付爱情 2黄斌 1胡伟 1娄强 1熊鸣1

作者信息

  • 1. 抚州市第一人民医院胸心外科 江西 抚州 344000
  • 2. 抚州市第一人民医院心内科 江西 抚州 344000
  • 折叠

摘要

Abstract

Objective:To investigate the effect of open reduction and internal fixation through rib fracture on pulmonary complications in the treatment of severe chest trauma.Method:The study subjects were selected from 80 patients with severe chest trauma admitted to First People's Hospital of Fuzhou from January 1,2021 to January 1,2023,and divided into control group and study group by drawing lots,with 40 cases in each group.The control group was given conservative therapy,and the study group was given conservative therapy+open reduction and internal fixation through rib fracture.The clinical efficacy,pain degree and incidence of pulmonary complications were evaluated.Result:The total effective rate of the study group(95.00%)was significantly higher than that of the control group(80.00%)(P<0.05).Visual analogue scale(VAS)scores of the two groups showed a downward trend after treatment,which were lower at 3 days after treatment than before treatment,and were lower at 7 days after treatment than after 3 days and before treatment,and those in the study group were lower than those in the control group(P<0.05).The total incidence of pulmonary complications in the study group(5.00%)was significantly lower than that in the control group(20.00%)(P<0.05).Conclusion:The application of open reduction and internal fixation through rib fracture in the treatment of severe chest trauma can achieve good therapeutic effect,reduce the risk of pulmonary complications and relieve pain.

关键词

重症胸外伤/经肋骨骨折切开复位内固定术/肺部并发症/疼痛程度

Key words

Severe thoracic trauma/Open reduction and internal fixation through rib fracture/Pulmonary complications/Pain degree

引用本文复制引用

杨鹏,付爱情,黄斌,胡伟,娄强,熊鸣..经肋骨骨折切开复位内固定术治疗重症胸外伤对肺部并发症的影响[J].中国医学创新,2024,21(17):67-70,4.

基金项目

抚州市社会发展指导性科技计划项目(抚科社字[2022]9号第11项) (抚科社字[2022]9号第11项)

中国医学创新

1674-4985

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