Abstract:
Objective
To investigate the clinical effect of nano-polymer memory chest plate in the treatment of multiple rib fractures .
Methods
110 cases of patients with multiple fractured ribs from June 2017 to May 2019 were selected as the study subjects .The patients were randomly divided into two groups based on their own will ;55 in the observation group were treated with nano-polymer memory chest plate fixation ,while 55 in the control group were treated with traditional multi-head chest belt fixation .The degree of pain ,incidence of pulmonary complications ,and clinical therapeutic effect after 1 ,3 and 7d treatment of the two group were observed and compared .
Results
There was no significant difference in VAS pain score , pulse oxygen saturation (SpO 2) and arterial oxygen saturation (SaO 2)between the two groups on the 1st day after treatment( P＞0 .05) . On the 3rd day and 5th day after treatment ,the visual analogue scale (VAS) pain score , SpO 2 and SaO2 in the observation group were significantly lower than those in the control group ( P＜ 0 .05) . There was no significant difference in white blood cell(WBC)count and C-reactive proten(CRP) between the two groups on the 1st day after treatment ,but on the 5th day after treatment ,the observation group was lower than the control group（P＜ 0 .05) .After treatment ,the time of getting out of bed and the total time of hospitalization in the observation group were shorter than those in the control group ( P＜ 0 .05) . The total incidence of pulmonary complications was 23 .64% in the observation group and 41 .82% in the control group ( P＜0 .05) .The excellent and good rate was 94 .55% in the observation group and 83 .64% in the control group which indicated that the observation group performed much better than the control group ( P＜0 .05) .
Conclusions
The use of nano-polymer memory chest shield for the treatment of multiple fractured ribs can significantly relieve chest pain symptoms , reduce the incidence of pulmonary complications ,and eventually receive satisfactory clinical results .
Key words:
Fractured rib,
nano-polymer,
Chest shield,
Pain,
Pulmonary complication
Zhanliang Ren, Wei feng Zhang, Yi Gu, Xiaopeng Ren, Yong Zhang, Yingjie Han, Yunhao Liu. Clinical application of nano-polymer memory chest guard plate in the treatment of multiple rib fractures[J]. Chinese Journal of Thoracic Surgery(Electronic Edition), 2019, 06(03): 141-145.