摘要
目的探讨快速康复外科(FTS)在肋骨骨折合并血气胸手术中应用的可行性和有效性。方法选取2010年5月~2015年5月采用传统手术方法治疗的肋骨骨折合并血气胸患者24例作为对照组,另选2015年9月~2016年9月采用FTS措施配合治疗的肋骨骨折合并血气胸患者12例作为FTS组。比较两组术后疼痛评分、并发症发生率及住院时间。结果 FTS组的疼痛评分(3.3±1.2)分较对照组(4.2±1.3)分低,但差异无统计学意义(P>0.05)。FTS组住院时间(20.0±3.2)d较对照组(25.0±4.7)d明显减少,差异具有统计学意义(P<0.05)。FTS组的肺不张、肺部感染例数均较对照组组减少,差异具有统计学意义(P<0.05);两组胸腔积液发生情况比较差异无统计学意义(P>0.05)。结论 FTS的应用可以减轻肋骨骨折合并血气胸患者的术后的疼痛,减少并发症,缩短住院时间,促进患者的康复。
Objective To investigate feasibility and effectiveness by fast track surgery （FTS） in operation for rib fracture complicated with hemopneumothorax. Methods There were 24 patients receiving traditional operation for rib fracture complicated with hemopneumothorax during May 2010-May 2015 as control group and another 12 patients receiving FTS for assistant treatment of rib fracture complicated with hemopneumothorax during September 2015-September 2016 as FTS group. Comparison was made on postoperative pain score, incidence of complications and hospital stay time between the two groups. Results FTS group had lower pain score as （3.3 ± 1.2） points than （4.2± 1.3） points in the control group, while their difference had no statistical significance （P〉0.05）. FTS group had much shorter hospital stay time as （20.0 ± 3.2） d than （25.0±4.7） d in the control group, and the difference had statistical significance （P〈0.05）. FTS group had fewer cases with pulmonary atelectasis and pulmonary infection than the control group, and their difference had statistical significance （P〈0.05）. The difference of occurred pleural effusion had no statistical significance between the two groups （P〉0.05）. Conclusion Application of FTS for rib fracture complicated with hemopneumothorax patients can relieve their postoperative pain, reduce complications, shorten hospital stay time and accelerate rehabilitation.
出处
《中国实用医药》
2017年第11期41-43,共3页
China Practical Medicine
关键词
快速康复外科
肋骨骨折
血气胸
治疗
Fast track surgery
Rib fracture
Hemopneumothorax
Treatment
