镍钛形状记忆合金环抱器内固定术与保守治疗多发性肋骨骨折疗效比较

发布时间：2018-04-27 21:33

本文选题：环抱器 + 内固定　；参考：《现代中西医结合杂志》2016年34期

【摘要】：目的比较镍钛形状记忆合金环抱器内固定术与保守治疗多发性肋骨骨折的临床疗效。方法将54例多发性肋骨骨折患者分为观察组30例和对照组24例,观察组接受镍钛形状记忆合金环抱器内固定术治疗,对照组接受保守治疗。比较2组哌替啶用量、疼痛持续时间、呼吸频率恢复时间、血氧饱和度[Sa(O2)]恢复时间和住院时间的差异,疼痛评分和肺功能改善情况,呼吸机支持率和并发症发生率。结果观察组治疗后哌替啶用量显著小于对照组(P0.05),疼痛持续时间、呼吸频率恢复时间、Sa(O2)恢复时间和住院时间均显著短于对照组(P0.05)。治疗后VAS较入院时显著下降(P0.05),MVV%显著升高(P0.05),观察组VAS和MVV%的改善幅度显著大于对照组(P均0.05)。观察组胸廓畸形和肺部感染的发生率显著低于对照组(P0.05)。结论与保守治疗相比,镍钛形状记忆合金环抱器内固定术可显著缩短多发性肋骨骨折患者的疼痛时间,促进其呼吸功能的恢复,降低并发症发生率,从而缩短住院时间,可行性和安全性均较高。
[Abstract]:Objective to compare the clinical effect of NiTi shape memory alloy embracing internal fixation and conservative treatment of multiple rib fractures. Methods 54 cases of multiple rib fractures were divided into observation group (30 cases) and control group (24 cases). The observation group received NiTi shape memory alloy embracing internal fixation treatment, and the control group received conservative treatment. 2 groups of piperia were compared. The amount of acetidine, the duration of pain, the recovery time of respiratory frequency, the difference in the recovery time of [Sa (O2) and the time of hospitalization, the pain score and the improvement of lung function, the rate of ventilator support and the incidence of complications. Results the dose of pethidine in the observation group was significantly smaller than that of the control group (P0.05), the duration of pain and the recovery of the respiratory frequency. Sa (O2) recovery time and hospitalization time were significantly shorter than those in the control group (P0.05). After treatment, VAS was significantly decreased (P0.05) and MVV% significantly increased (P0.05). The improvement of VAS and MVV% in the observation group was significantly greater than that in the control group (P 0.05). The incidence of thoracic deformity and pulmonary infection in the observation group was significantly lower than that of the control group (P0.05). Conclusion and conservative treatment (P0.05). Compared with the treatment, NiTi shape memory alloy embracing fixator can significantly shorten the pain time of the patients with multiple ribs fracture, promote the recovery of its respiratory function, reduce the incidence of complications, and shorten the time of hospitalization, and the feasibility and safety are all high.

【作者单位】：江苏省淮安市楚州中医院;
【分类号】：R687.32

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