Department of Surgery, M.G.M. Medical College, Indore (M.P.), India.
Int J Surg. 2011;9(6):478-81. doi: 10.1016/j.ijsu.2011.06.003. Epub 2011 Jul 5.
To compare the intensity of pain and duration of return to normal activity in patients with rib fractures treated with surgical stabilization with plating versus conventional treatment modalities.
This study was conducted over a 12 month period. Patients with rib fractures were assessed by numerical pain scale. Patients having pain scale less than 5 were excluded from study. Patients having pain scale of 5 or more than 5 were treated with conventional treatment for next 10 days. On 11th day patients were again assessed by numerical pain scale and patients having score less than 5 were excluded from study. Patients having pain scale of 5, 6, and 7 were treated with conventional treatment and patients having pain scale of 8, 9, and 10 were selected for operative management. Operative and control group were compared on basis of intensity of pain and duration of return to normal activity. Follow up was done on 5, 15, and 30 post operative day.
There was less pain in operative group as compared to control group. Mean rib fracture pain in operative group was 9.15, 2.31, 1.12 as compared to 6.25, 5.96, 4.50 in control group on 5, 15 and 30 post operative days. Also there was early return to normal activity in operative group.
Surgical stabilization of rib fracture, an underutilized intervention is better than conventional conservative management in terms of both, decrease in intensity of pain and early return to normal activity.
比较手术固定钢板与传统治疗方法治疗肋骨骨折患者的疼痛强度和恢复正常活动的时间。
本研究进行了 12 个月。通过数字疼痛量表评估肋骨骨折患者。疼痛评分低于 5 的患者被排除在研究之外。疼痛评分在 5 或以上的患者接受了 10 天的常规治疗。第 11 天，再次通过数字疼痛量表评估患者，疼痛评分低于 5 的患者被排除在研究之外。疼痛评分为 5、6 和 7 的患者接受常规治疗，疼痛评分为 8、9 和 10 的患者选择手术治疗。对手术组和对照组进行了疼痛强度和恢复正常活动时间的比较。在术后 5、15 和 30 天进行随访。
手术组的疼痛程度低于对照组。手术组的平均肋骨骨折疼痛评分分别为 9.15、2.31 和 1.12，而对照组的疼痛评分分别为 6.25、5.96 和 4.50。在术后 5、15 和 30 天。此外，手术组患者更早地恢复正常活动。
手术固定肋骨骨折是一种未充分利用的干预措施，在减轻疼痛强度和早期恢复正常活动方面优于传统的保守治疗。
