Objective: To compare the pain relief effect on surgical and non-surgical treatment for comminuted/segmental rib fractures. Methods: 51 patients with rib fractures who were admitted to the Affiliated Hospital of Chifeng University from January 1, 2014 to December 31, 2020 were selected into this study. All selected patients were divided into the operation group and non-operation group with simple random sampling method. 1 year follow-up under three states (resting, coughing and body position changing) was performed to collect pain data. Finally, the pain data of the two groups of patients were statistically analyzed. Results: The pain difference between the operation group and the non-operation group was mainly reacted in the first month after fracture and the sixth to twelfth months after fracture. The pain relief effect of operation group within the first month after fracture was significantly better than that of the non-operation group, and the differences were statistically significant(P＜0.05). From the sixth month to the twelfth month after fracture, although the statistical results showed that the pain degree of patients in the non-operation group was lower than that in the operation group, the central tendency of pain degree in the two groups during this period had reached a negligible level (close to 0 score). Conclusion: For patients with comminuted or segmental rib fractures, the intervention effect of operative treatment is better than that of non-operation treatment in the early stage after fracture, but pain is not an independent indication in rib fracture surgery, and its pain management plan should be determined by the overall condition of the patient.The sixth month after fracture may be an important watershed for rib fracture pain.
LIN Keli
,
JIANG Tianshuo
,
SU Zhiyong
. A comparison of pain relief effects on surgical and non-surgical treatments for comminuted or segmental rib fractures[J]. Journal of Baotou Medical College, 2023
, 39(1)
: 35
-40
.
DOI: 10.16833/j.cnki.jbmc.2023.01.008
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