广州医科大学学报

目的:观察医用高分子夹板在治疗肋骨骨折中的临床疗效。方法:对2009年10月-2012年10月本院116例肋骨骨折患者完全随机分组:医用高分子夹板治疗组63人和传统胸部多头胸带包扎固定治疗组53人。观察两组治疗后1、24、48、72 h的疼痛症状缓解程度及肺部感染等并发症的发生率。结果:医用高分子夹板治疗组疼痛缓解程度均高于传统治疗组(P<0.05)。医用高分子夹板治疗组肺部感染情况优于传统治疗组(P<0.05)。结论:医用高分子夹板对肋骨骨折区域有良好的固定作用,可迅速减轻疼痛、改善呼吸功能、减少肺部感染等并发症的发生,是一种简单有效治疗肋骨骨折的方法。

Objective;To investigate the effects of medical polymer splint for the treatment of rib fracture.Methods;A total of 116 consecutive children with rib fracture admitted to The 263th Hospital of People' s Liberation Army between October 2009 and October 2012 were randomly allocated to be treated with medical polymer splint(observation group,n = 63) and conventional chest bandage fixation(control group,n = 53).The amelioration of pain and incidence of complications,i.e.pulmonary infection,were compared at lh,24 h,48 h and 72 h following the treatment,respectively.Results;Treatment with medical polymer splint was associated with marked amelioration of pain and lower incidence of pulmonary infection compared with the conventional treatment(both P < 0.05).Conclusion:Characterized by rapid attenuation of pain,markedly improved respiratory capacity and lower incidence of complications,i.e.pulmonary infection,the medical polymer splint offers solid fixation and should be regarded as a simple approach for the treatment of rib fracture.