Do we really know the duration of pain after rib fracture?
Do we really know the duration of pain after rib fracture?
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DOI：
10.5114/kitp.2018.78437
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发表时间：
2018-09
期刊：
影响因子：
--
通讯作者：
Bilge A
中科院分区：
文献类型：
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作者：
Tulay CM;Yaldiz S;Bilge A
肋骨骨折后疼痛的持续时间是医生最常被问到的问题。创伤性肋骨骨折后无任何合并症的疼痛持续时间尚未广泛发表。我们报告我们的经验，以调查疼痛的持续时间后，孤立的创伤性肋骨骨折没有任何创伤合并症。我们检查了182例没有其他身体部位外伤的孤立性肋骨骨折患者。疼痛数值评定量表（NRS）用于评定疼痛程度。NRS疼痛评分在急诊科就诊时、第15天、第3和第6个月进行评估。采用Mann-Whitney U检验进行统计分析。年轻组患者治疗第15天、第3个月、第6个月疼痛程度均低于老年组，差异有统计学意义。虽然两根肋骨骨折的患者在急诊室的疼痛程度高于一根肋骨骨折的患者，但其他时间点的差异无统计学意义。前路骨折患者的疼痛水平明显低于外侧区和后路区，而外侧骨折患者的疼痛评分在除第6个月外的所有时间点均明显高于其他区域。除随访6个月外，移位骨折疼痛评分在各时间点均显著高于非移位骨折。肋骨骨折会引起明显的疼痛，需要适当的药物治疗。第6个月可能是一个重要的里程碑。
The duration of pain after rib fracture is the question physicians are most frequently asked. The duration of pain following a traumatic rib fracture without any comorbidity is not widely published. We report our experience to investigate the duration of pain following isolated traumatic rib fractures without any traumatic comorbidity. We examined 182 patients with isolated rib fracture without any trauma to other body parts. The numeric rating scale (NRS) for pain was used to rate the level of pain. The NRS pain scores were evaluated in the emergency department at presentation, on the 15th day, and at the 3rd and 6th months of trauma. The Mann-Whitney U test was performed for the statistical analysis. The pain level of young patients on the 15th day and at the third month and sixth month was lower than that in the old group, and the difference was statistically significant. While patients with two rib fractures had a higher pain level in the emergency room than those with one rib fracture, there was no statistically significant difference at other time points. In patients with anterior fractures, the pain level was significantly lower than in the lateral and posterior regions, whereas in the lateral fractures, the pain score was significantly higher than others at all time points except at the 6th month. The pain score of displaced fractures was significantly higher than that of non-displaced ones at all time points except the 6-month follow-up. Rib fractures cause significant pain and need appropriate medication. The time of the 6th month could be an important milestone.