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热门期刊: 细胞研究(英文版)中华医学杂志(英文版)国际临床研究杂志

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重症胸外伤治疗中应用肋骨骨折切开复位内固定术联合心理干预对患者的心理状态、术后认知功能的影响

Effect of open reduction and internal fixation of rib fracture combined with psychological intervention on patients psychological state and postoperative cognitive function in the treatment of severe thoracic trauma

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2022, 49(2)
作者
作者单位

漯河市中心医院 ;

摘要
【摘要】目的:分析重症胸外伤治疗中应用肋骨骨折切开复位内固定术联合心理治疗对患者的心理状态、术后认知功能的影响。方法:选择本院2019年3月至2021年3月住院治疗的86例重症肋骨骨折患者,根据抽签法分组(每组n=43),参照组采纳切开复位内固定术治疗,试验组在参照组的基础上联合心理治疗,对比两组优良率、VAS评分、MMSE评分、SAS评分、SDS评分。结果:试验组优良率(95.35%)高于参照组(69.77%),试验组治疗后VAS评分、SAS评分、SDS评分均低于参照组,试验组治疗后MMSE评分高于参照组,差异均具有统计学意义(P<0.05)。结论:切开复位内固定术联合心理干预可有效改善肋骨骨折患者病情,缓解术后疼痛感,减轻心理负担,提高术后认知功能。
[Abstract] Objective: To analyze the effect of open reduction and internal fixation of rib fracture combined with psychotherapy on the psychological state and postoperative cognitive function of patients with severe thoracic trauma. Methods: 86 patients with severe rib fracture hospitalized in our hospital from March 2019 to March 2021 were divided into groups according to the method of drawing lots (n = 43 in each group), the reference group was treated with open reduction and internal fixation, and the experimental group was combined with psychotherapy on the basis of the reference group. The excellent and good rate, VAS score, MMSE score, SAS score and SDS score of the two groups were compared. Results: The excellent and good rate of the experimental group (95.35%) was higher than that of the reference group (69.77%), the VAS score, SAS score and SDS score of the experimental group were lower than those of the reference group, and the MMSE score of the experimental group was higher than that of the reference group (P<0.05). Conclusion: Open reduction and internal fixation combined with psychological intervention can effectively improve the condition of patients with rib fracture, alleviate postoperative pain, reduce psychological burden and improve postoperative cognitive function.
关键词
【关键词】肋骨骨折;切开复位内固定术;心理干预;心理状态;认知功能
[Key words] rib fracture; open reduction and internal fixation; psychological intervention; psychological state; cognitive function
基金项目
页码 324-327
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