目的:评估肋骨骨折固定术后患者出现肺部感染可能的相关因素;为肋骨骨折固定术后肺部感染的临床预防和治疗提供一定的依据。方法:入组了23位患者,统计患者性别、年龄、身高体重指数(BMI)、高血压及糖尿病病史。以及患者住院期间体温(T)、白细胞(WBC)、炎症二项等指标、胸部CT的影像学报告结果。结果:肋骨骨折固定术后肺部感染患者中男性患者5人,女性2人,P > 0.05;青年(≥18, ≤40)患者1人,中年(>40, ≤65)患者2人,老年(>65)患者4人,P > 0.05;体重正常(18.5 ≤ BMI 24)患者3人,P > 0.05;患有高血压的患者2人,无高血压的患者5人,P > 0.05;有糖尿病的患者1人,无糖尿病的患者6人,P > 0.05。结论:不同性别、年龄、身高体重指数、既往高血压或糖尿病病史均不是肋骨骨折固定术后患者出现肺部感染的影响因素。患者是否行肋骨骨折手术对于患者治疗过程中是否并发肺部感染无影响。Objective: To evaluate the possible related factors of pulmonary infection in patients with rib fracture fixation after surgery;and to provide certain basis for the clinical prevention and treatment of pulmonary infection in patients with rib fracture fixation surgery. Methods: 23 patients were enrolled and the statistical data of the patients were collected, including gender, age, body mass index (BMI), history of hypertension and diabetes, as well as the indicators of temperature (T), white blood cells (WBC), inflammation two items and the imaging report results of chest CT during the hospitalization period. Results: Among the patients with post-rib fracture fixation pulmonary infections, there were 5 male patients and 2 female patients, with P > 0.05;1 patient was young (≥18, ≤40 years old), 2 were middle-aged (>40, ≤65 years old), and 4 were elderly (>65 years old), with P > 0.05;1 patient had a normal weight (18.5 ≤ BMI 24), with P > 0.05;2 patients had hypertension, and 5 did not, with P > 0.05;1 patient had di
目的分析专项疼痛干预模式在髋部骨折固定术患者围术期中的应用效果。方法选取2020年7月至2022年7月收治的70例髋部骨折固定术患者,以随机法将其分为常规组和观察组,每组35例。常规组给予传统治疗模式,观察组在常规组基础上给予专项疼痛干预模式,对比2组疼痛数字评价量表(NRS评分)、应激反应指标、舒适度评分、患者满意度。结果观察组术后3 d NRS评分比常规组低,观察组术后3 d血清皮质醇(COI)、去甲肾上腺素(NE)、肾上腺素(E)因子均比常规组低,差异均有统计学意义(P<0.05)。观察组术后3 d舒适度评分比常规组高,观察组患者满意度(94.29%)比常规组(68.57%)高,差异均有统计学意义(P<0.05)。结论专项疼痛干预可有效减轻髋部骨折固定术患者疼痛感及应激反应,提高舒适度及满意度,效果显著,值得借鉴。
