多发肋骨骨折2828例治疗的经验总结.docVIP

多发肋骨骨折2828例治疗的经验总结 　　【摘要】 目的 回顾不同方式治疗肋骨骨折患者的临床效果， 为多发肋骨骨折的治疗寻找合理的治疗方案。方法 2828例多发肋骨骨折患者， 根据损伤程度及治疗方法不同分为单纯保守治疗组（A组， n=2080）、外固定治疗组（B组， n=473）、手术治疗组（C组， n=275）， 对比其平均住院时间、止痛药应用时间、并发症发生率。结果 A组平均住院时间较B组和C组明显延长， 差异有统计学意义（Plt;0.05）， 而B组与C组平均住院时间比较差异无统计学意义（Pgt;0.05）。C组应用止痛药物时间较A组和B组明显缩短， 差异有统计学意义（Plt;0.05）， 而A组与B组应用止痛药物时间比较差异无统计学意义（Pgt;0.05）。C组并发症发生率较A组、B组明显降低， 差异有统计学意义（Plt;0.05）， A组与B组并发症发生率相当， 组间比较差异无统计学意义（Pgt;0.05）。结论 对于多发肋骨骨折患者， 保守治疗应选择外固定治疗为宜;而肋骨骨折手术治疗患者获益更多， 对于有手术指征的患者应积极手术治疗。 　　【关键词】 肋骨骨折;外固定;内固定 　　DOI：10.14163/j.cnki.11-5547/r.2015.03.010 　　Treatment experience summary in 2828 cases of multiple rib fracture LIU Shuai， XUE Ru-gang， LIU Ya-lin， et al. Beijing Huairou Hospital， Beijng 101400， China 　　【Abstract】 Objective To review the clinical effects of different treatment methods for rib fracture patients， so as to explore rational treatment method for rib fracture. Methods A total of 2828 rib fracture patients were divided into conventional treatment group （group A， n=2080）， external fixation treatment group （group B， n=473）， and surgery treatment group （group C， n=275）， according to their different injury degree and treatment methods. The average hospital stays， painkillers application time， incidence of complications were compared in the three groups. Results The average hospital stays of group A was longer than group B and group C， and the difference was statistically significant （Plt;0.05）. While the average hospital stays had no significant difference between group B and group C （Pgt;0.05）. Application time of painkillers was obviously shorter in group C than in group A and group B， and the difference was statistically significant （Plt;0.05）. While the difference of painkillers application time was no statistically significant between group A and group B （Pgt;0.05）. The incidence of complications in group C was lower than group B and group A， and the difference was statistically significant （Plt;0.05）. The incidence of complications was similar between