术后胸部护板-conkai上海长征医院用于骨科脊柱腰椎.doc

记忆合金胸部护板治疗肋骨骨折的疗效观察 陶显东 赵学维 薛磊 钟镭 （上海长征医院 胸外科） ［摘要］ 目的：探讨应用记忆合金胸部护板（Conkai胸部护板）治疗肋骨骨折的疗效。方法：收集2010年8月至2012年8月将171例肋骨骨折的的病患按照随机和自愿原则分为2组，护板组85例应用记忆合金胸部护板做外固定；对照组86例采用传统外固定方法（胸带固定等）。分别纪录2组病患在骨折开始治疗后1、24、48及72小时休息时及咳嗽时的视觉疼痛指数［Visual analogue scale, VAS］、镇痛药用量、肺部并发症发生率、治疗天数等。结果：护板组减轻胸痛的效应从治疗后一小时开始显现，休息时和强制性咳嗽时的VAS 较对照组下降；镇痛药（杜冷丁）用量平均每例减少51mg；肺部并发症降低31%；平均治疗时间缩短3.24天。两组间4项结果比较差异均有统计学意义（p0.05）。结论：记忆合金胸部护板对于肋骨骨折有区域固定效果，明显降低疼痛因此增加呼吸功能、减少肺部并发症、缩短治疗时间，生活质量较高，疗效优于传统的外固定方法，是一种新式的、简单有效的治疗方法。 ［关键词］肋骨骨折 胸部护板； The curative observation of applying the memory alloying protective plank to treat the rib fracture Tao xiandong; Zhao xuewei; Xue lei; Zhong lei (Thoracic Department of Changzheng Hospital of Shanghai) ［Abstract］: Objective: To investigate the curative effect of applying the memory alloying protective plank(the CHRISOFIX chest protective plank) to treat the rib fracture. Methods: From August, 2008 to August, 2012, 171 cases of the rib fracture were randomly and voluntarily divided into two groups: the test group(n=85) : applying the memory alloying protective plank to fix the rib fracture; the control group(n=86): applying the traditional methods(chest straps mainly) to treat the rib fracture. The pain indexes, the dosage of the analgesic medicine, the infection rate of pneumonia, and the treatment days were observed; the pain indexes, adopting Visual analogue scale( VAS), were recorded respectively at 1h, 24h, 48h and 72h after the treatment in two groups when the patients were at rest and coughing. Results: In test group, the pain was alleviated from 1h, and the pain indexes at rest and compulsory cough declined to the control group. The dosage of the analgesic medicine (pethidine) of every case reduced averagely about 51mg. The lung complications lowered 31%. The treatment days shortened for 3.24 days. The difference of the four outcomes between two groups is significant(p0.05). Conclusion: The memory alloying protective plank takes effect on the rib fracture by the loca