| 欧阳恒,胡晓俭,周德存,任高飞,疏玉玲,张 亮.镍钛形状记忆合金环抱器内固定术对多发性肋骨骨折患者术后疼痛、呼吸功能及肺部感染的影响[J].,2019,19(7):1349-1352 |
| 镍钛形状记忆合金环抱器内固定术对多发性肋骨骨折患者术后疼痛、呼吸功能及肺部感染的影响 |
| Effect of Ni-Ti Shape Memory Alloy Embracing Internal Fixator on Postoperative Pain, Respiratory Function and Pulmonary Infection in Patients with Multiple Rib Fractures |
| 投稿时间：2018-08-22 修订日期：2018-09-17 |
| DOI：10.13241/j.cnki.pmb.2019.07.034 |
| 中文关键词: 镍钛形状记忆合金环抱器 内固定术 多发性肋骨骨折 术后疼痛 呼吸功能 肺部感染 |
| 英文关键词: Ni-Ti shape memory alloy embracing device Internal fixator Multiple rib fractures Postoperative pain Respiratory function Pulmonary infection |
| 基金项目:安徽省卫生计生委科研计划项目（2018SEYL011） |
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| 中文摘要: |
| 摘要 目的：探讨多发性肋骨骨折患者采用镍钛形状记忆合金环抱器内固定术治疗的临床效果。方法：选取2016年1月-2018年1月期间我院收治的97例多发性肋骨骨折患者。按照不同的治疗方法将患者分为对照组（n=47）和研究组（n=50），对照组患者给予胸部护板外固定术，研究组患者给予镍钛形状记忆合金环抱器内固定术。比较两组患者术后7 d的临床疗效，比较两组术前、术后7 d疼痛程度及呼吸功能情况，记录两组术后并发症发生情况。结果：研究组患者治疗后总有效率为92.00%（46/50），高于对照组患者的76.60%（36/47）（P<0.05）。两组患者术后7 d 视觉疼痛模拟评分量表（VAS）评分均较术前降低，且研究组低于对照组（P<0.05）。两组患者术后7 d最大自主通气量占预计值百分比（MVV%）较术前升高，且研究组高于对照组（P<0.05）；两组患者术后7 d第1秒用力呼气肺活量占预计值百分比（FEV1%）比较无差异（P>0.05）。研究组患者术后并发症总发生率8.00%（4/50），低于对照组的23.40%（11/47）（P<0.05）。结论：多发性肋骨骨折经镍钛形状记忆合金环抱器内固定术治疗安全、有效，可明显减轻患者术后疼痛及改善呼吸功能，临床应用价值较高。 |
| 英文摘要: |
| ABSTRACT Objective: To investigate the clinical effect of Ni-Ti shape memory alloy embracing internal fixator in the treatment of patients with multiple rib fractures. Methods: A total of 97 patients with multiple rib fractures, who were admitted to Second People's Hospital of Anhui Province from January 2016 to January 2018 were selected. The patients were divided into control group (n=47) and study group (n=50) according to the different treatment methods. The control group was treated with the external fixation of the chest protective plate, and the study group was treated with Ni-Ti shape memory alloy embracing internal fixator. The clinical effects of 7d af- ter operation were compared between the two groups, the pain and respiratory function were compared between the two groups before op- eration and 7 d after operation, and the occurrence of postoperative complications were recorded in the two groups. Results: The total ef- fective rate[92.00% (46/50)] in the study group, which was higher than that[76.60% (36/47)] in the control group (P<0.05). The visual ana- logue pain scale (VAS) scores in the two groups 7 d after operation were lower than those before operation, and the study group was lower than the control group (P<0.05). The maximum voluntary ventilation percent (MVV%) 7 d after operation in the two groups was higher than that before operation, and the study group was higher than the control group (P<0.05). There was no significant difference in the forced expiratory vital capacity at the 1st second percent (FEV1%) 7 d after operation between the two groups (P>0.05). The total in- cidence of postoperative complications [8.00% (4/50)] in the study group was lower than that [23.40% (11/47)] in the control group (P<0.05). Conclusion: Ni-Ti shape memory alloy embracing internal fixator for multiple rib fractures is safe and effective, it can reduce the postoperative pain and improve the respiratory function of the patients, with higher clinical application value. |
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